Crush Deformation of a Balloon-Expandable Stent Implanted in an Infrainguinal Bypass Graft
N Ahmed, R El-Khoury, MN Sabri… - Vascular and …, 2017 - journals.sagepub.com
N Ahmed, R El-Khoury, MN Sabri, JV White, CE Jacobs, LB Schwartz
Vascular and Endovascular Surgery, 2017•journals.sagepub.comA 59-year-old man with critical claudication underwent left femoro-anterior bypass grafting,
which was uneventful. The graft was tunneled medially across the knee, then anterior to the
tibia. His symptoms recurred 1 year later and he was found to have critical stenosis of the
vein graft just proximal to the anterior tibial arterial anastomosis. This was treated with
scaffolded balloon angioplasty and implantation of a coronary, zotarolimus-eluting balloon-
expandable stent, which was also uneventful. However, his claudication again recurred 1 …
which was uneventful. The graft was tunneled medially across the knee, then anterior to the
tibia. His symptoms recurred 1 year later and he was found to have critical stenosis of the
vein graft just proximal to the anterior tibial arterial anastomosis. This was treated with
scaffolded balloon angioplasty and implantation of a coronary, zotarolimus-eluting balloon-
expandable stent, which was also uneventful. However, his claudication again recurred 1 …
A 59-year-old man with critical claudication underwent left femoro-anterior bypass grafting, which was uneventful. The graft was tunneled medially across the knee, then anterior to the tibia. His symptoms recurred 1 year later and he was found to have critical stenosis of the vein graft just proximal to the anterior tibial arterial anastomosis. This was treated with scaffolded balloon angioplasty and implantation of a coronary, zotarolimus-eluting balloon-expandable stent, which was also uneventful. However, his claudication again recurred 1 year later. Diagnostic angiography revealed crush, deformation and restenosis of the balloon-expandable stent requiring surgical revision of the bypass graft.
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