Use of Wallstent device as an embolic protection device during stenting of aortic thrombus

Autor: Malcolm Han Wen Mak, MBBS, FRCSEd, Glenn Wei Leong Tan, MBChB, FRCSEd, Yi-Wei Wu, MD, FRCR, Lawrence Han Hwee Quek, BMBS, FRCR
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 4, Pp 101340- (2023)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2023.101340
Popis: Blue toe syndrome can occur due to distal embolization from proximal lesions such as an aortic thrombus. We describe the case of a patient who presented with chronic limb threatening ischemia due to a flow-limiting infrarenal aortic thrombus, with gangrene from distal embolization to the left fifth toe, and was successfully treated with endovascular aortic stent graft insertion. Distal embolization during instrumentation was successfully prevented by using a partially deployed Wallstent (Boston Scientific) as an embolic protection device. The reconstrainable Wallstent device can be considered for distal thromboembolic protection during aortic stenting, in particular, when distal embolization is a concern and commercial devices are not readily available.
Databáze: Directory of Open Access Journals