Recurrent popliteal endoprosthesis thrombosis secondary to extrinsic compression

Catheter Cardiovasc Interv. 2011 Apr 1;77(5):746-9. doi: 10.1002/ccd.22811. Epub 2010 Dec 3.

Abstract

Endovascular intervention to exclude popliteal artery aneurysms (PAA) achieves results comparable to surgical intervention with less associated morbidity and mortality. However, the biomechanical forces inherent to this region pose unique impediments that can limit successful endovascular exclusion. Herein, we present a case of recurrent thrombotic occlusion of a PAA endoprosthesis secondary to dynamic extrinsic compression from the excluded PAA in the absence of an endoleak. Multimodality imaging proved vital in elucidating this novel etiology and enabled an appropriate definitive intervention.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm / diagnosis
  • Aneurysm / physiopathology
  • Aneurysm / surgery*
  • Angiography, Digital Subtraction
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / etiology*
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy
  • Hemodynamics
  • Humans
  • Intermittent Claudication / etiology
  • Male
  • Middle Aged
  • Popliteal Artery / diagnostic imaging
  • Popliteal Artery / physiopathology
  • Popliteal Artery / surgery*
  • Prosthesis Design
  • Recurrence
  • Stress, Mechanical
  • Thrombolytic Therapy
  • Thrombosis / diagnosis
  • Thrombosis / etiology*
  • Thrombosis / physiopathology
  • Thrombosis / therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Interventional