Endovascular Bailout Repair After Intraprocedural Thrombosis of a Bifurcated Unimodular Stent-graft During Aorto-iliac Revascularization in a Patient with Sars CoV-2 Infection.

Autor:	Zacà S; Vascular and Endovascular Surgery, Department of Emergency and Organs Transplantation (DETO), 'Aldo Moro' University of Bari School of Medicine, Bari, Italy., Ramundo RM; Vascular and Endovascular Surgery, Department of Emergency and Organs Transplantation (DETO), 'Aldo Moro' University of Bari School of Medicine, Bari, Italy., Desantis C; Vascular and Endovascular Surgery, Department of Emergency and Organs Transplantation (DETO), 'Aldo Moro' University of Bari School of Medicine, Bari, Italy., Di Stefano L; Vascular and Endovascular Surgery, Department of Emergency and Organs Transplantation (DETO), 'Aldo Moro' University of Bari School of Medicine, Bari, Italy., Pulli R; Department of Vascular Surgery, Careggi University Hospital, Florence, Italy., Angiletta D; Vascular and Endovascular Surgery, Department of Emergency and Organs Transplantation (DETO), 'Aldo Moro' University of Bari School of Medicine, Bari, Italy.
Jazyk:	angličtina
Zdroj:	Vascular and endovascular surgery [Vasc Endovascular Surg] 2023 Jul; Vol. 57 (5), pp. 520-525. Date of Electronic Publication: 2023 Jan 26.
DOI:	10.1177/15385744231154333
Abstrakt:	To describe a case of endovascular bailout strategy during stent-graft thrombotic complication in an endovascular procedure for complex TASC II D aortoiliac lesion. A 77-year-old patient was admitted at our institution with bilateral lower limb rest pain due to aortoiliac obstructive disease in a previous aortobifemoral bypass grafting with an asymptomatic Sars-CoV-2 infection. We planned an anatomic reconstruction of the aortoiliac segment with an unimodular bifurcated stent-graft. During the procedure, we observed a preocclusive thrombosis of the aortic portion requiring endovascular thrombectomy with vacuum assisted system followed by a successfully kissing-stent endolining. The post-operative period was uneventful and patient was discharged on the 14 th post-operative day. Endovascular thrombectomy may be a helpful strategy during thrombotic complication of complex reconstructions of obstructive aortoiliac disease avoiding surgical conversion to laparotomy.
Databáze:	MEDLINE
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