Abstract
Purpose: To describe the utility of stent-graft implantation to avoid distal embolization from a large thrombus-containing lesion. Case Report: A 67-year-old man was evaluated for recent onset of disabling left leg claudication. Angiography disclosed a mobile lobular mass occluding the left common iliac artery; irregular staining suggested an atherothrombotic lesion. Through a percutaneous ipsilateral access and an 8-F sheath, a balloon-expandable Jostent peripheral stent-graft was positioned with the distal edge immediately proximal to the internal iliac artery ostium. A prominent "waist" at the center of the balloon confirmed entrapment of the thrombotic mass. Completion angiography showed an optimal result with no residual stenosis or evidence of distal embolization. At 6-month follow-up, the patient was asymptomatic with angiographically documented luminal patency and no evidence of in-stent stenosis. Conclusions: Stent-graft implantation appears a viable treatment alternative for thrombuscontaining lesions, particularly when the thrombotic material is localized or is in a large vessel.
| Original language | English |
|---|---|
| Pages (from-to) | 246-249 |
| Number of pages | 4 |
| Journal | Journal of Endovascular Therapy |
| Volume | 9 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2002 |
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Keywords
- Claudication
- Common iliac artery
- Distal embolization
- Jostent peripheral stent-graft
- Occlusion
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Covered stent to exclude intravascular thrombus. / Liistro, Francesco; Stankovic, Goran; Di Mario, Carlo; Montorfano, Matteo; Briguori, Carlo; Colombo, Antonio.
In: Journal of Endovascular Therapy, Vol. 9, No. 2, 2002, p. 246-249.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Covered stent to exclude intravascular thrombus
AU - Liistro, Francesco
AU - Stankovic, Goran
AU - Di Mario, Carlo
AU - Montorfano, Matteo
AU - Briguori, Carlo
AU - Colombo, Antonio
PY - 2002
Y1 - 2002
N2 - Purpose: To describe the utility of stent-graft implantation to avoid distal embolization from a large thrombus-containing lesion. Case Report: A 67-year-old man was evaluated for recent onset of disabling left leg claudication. Angiography disclosed a mobile lobular mass occluding the left common iliac artery; irregular staining suggested an atherothrombotic lesion. Through a percutaneous ipsilateral access and an 8-F sheath, a balloon-expandable Jostent peripheral stent-graft was positioned with the distal edge immediately proximal to the internal iliac artery ostium. A prominent "waist" at the center of the balloon confirmed entrapment of the thrombotic mass. Completion angiography showed an optimal result with no residual stenosis or evidence of distal embolization. At 6-month follow-up, the patient was asymptomatic with angiographically documented luminal patency and no evidence of in-stent stenosis. Conclusions: Stent-graft implantation appears a viable treatment alternative for thrombuscontaining lesions, particularly when the thrombotic material is localized or is in a large vessel.
AB - Purpose: To describe the utility of stent-graft implantation to avoid distal embolization from a large thrombus-containing lesion. Case Report: A 67-year-old man was evaluated for recent onset of disabling left leg claudication. Angiography disclosed a mobile lobular mass occluding the left common iliac artery; irregular staining suggested an atherothrombotic lesion. Through a percutaneous ipsilateral access and an 8-F sheath, a balloon-expandable Jostent peripheral stent-graft was positioned with the distal edge immediately proximal to the internal iliac artery ostium. A prominent "waist" at the center of the balloon confirmed entrapment of the thrombotic mass. Completion angiography showed an optimal result with no residual stenosis or evidence of distal embolization. At 6-month follow-up, the patient was asymptomatic with angiographically documented luminal patency and no evidence of in-stent stenosis. Conclusions: Stent-graft implantation appears a viable treatment alternative for thrombuscontaining lesions, particularly when the thrombotic material is localized or is in a large vessel.
KW - Claudication
KW - Common iliac artery
KW - Distal embolization
KW - Jostent peripheral stent-graft
KW - Occlusion
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UR - http://www.scopus.com/inward/citedby.url?scp=0036259963&partnerID=8YFLogxK
U2 - 10.1583/1545-1550(2002)009<0246:CSTEIT>2.0.CO;2
DO - 10.1583/1545-1550(2002)009<0246:CSTEIT>2.0.CO;2
M3 - Article
C2 - 12010110
AN - SCOPUS:0036259963
VL - 9
SP - 246
EP - 249
JO - Journal of Endovascular Therapy
JF - Journal of Endovascular Therapy
SN - 1526-6028
IS - 2
ER -