Mechanical rotational thrombectomy in long femoropopliteal artery and stent occlusion in COVID-19 patient: Case report
| Autor: | Ettore Dinoto, F. Ferlito, F. Urso, Guido Bajardi, Felice Pecoraro, D. Pakeliani |
|---|---|
| Přispěvatelé: | Dinoto E., Ferlito F., Urso F., Pakeliani D., Bajardi G., Pecoraro F. |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report Revascularization Settore MED/22 - Chirurgia Vascolare Popliteal aneurysm 03 medical and health sciences 0302 clinical medicine medicine Multilayer Flow Modulator stent Acute limb ischemia cardiovascular diseases business.industry COVID-19 Stent equipment and supplies Debulking medicine.disease Arterial occlusion Thrombosis Surgery Catheter surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Rotarex 030211 gastroenterology & hepatology Mechanical thrombectomy business Artery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2021.106133 |
| Popis: | Introduction Coronavirus disease-19 (COVID-19) has been increasingly associated with thromboembolic complications. COVID-19 infection has a thrombogenic potential for stents. Herein, we report a case of stent thrombosis in diabetic obese patient COVID-19 positive where was previously released a Multilayer Flow Modulator stent (MFM) for large popliteal aneurysm. Case report A 78-year-old male was referred to our hospital for fever and acute pain in the left leg. At history, the same patient had endovascular procedure for a large symptomatic popliteal aneurysm, treated through release of three MFM. The pulmonary CT scan showed COVID-19 infection with confirm of rhino-laryngeal swab. Duplex ultrasound and CT-angiography showed complete thrombosis of stents. The treatment consisted of mechanical thrombectomy using an 8Fr catheter Rotarex plus release of Vibahn stent-graft. Discussion COVID-19 patients can present arterial occlusion. In literature are not reported cases about thrombosis peripheral stent. Minimally invasive approaches in redo-procedure reduce risk of infection. Rotarex device was used in revascularization of acute and subacute iliac and femoropopliteal arteries. The goal is to have a debulking, to avoid an incomplete deployment of stent-graft. In our precedent experience, MFM and stent-graft to treatment of popliteal aneurism were safe. It is important to monitor these patients for early identification of failure and rapprochement. In this case, the COVID-19 infection was determinant in promoting thrombosis. Conclusions COVID-19 increases risk of thrombosis stent. In our experience debulking through Rotarex and stenting, were decisive factors for revascularization and limb salvage. |
| Databáze: | OpenAIRE |
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