Sequential Graft Limb Occlusion Following Endovascular Aneurysm Repair: A Case Report and Literature Review

Ioannis Kontes; Vangelis Bontinis; Alkis Bontinis; Vasiliki Manaki; Angeliki Chorti; Argyrios Giannopoulos; Kyriakos Ktenidis

doi:10.7759/cureus.60102

Sequential Graft Limb Occlusion Following Endovascular Aneurysm Repair: A Case Report and Literature Review

Cureus. 2024 May 11;16(5):e60102. doi: 10.7759/cureus.60102. eCollection 2024 May.

Authors

Ioannis Kontes¹, Vangelis Bontinis¹, Alkis Bontinis¹, Vasiliki Manaki¹, Angeliki Chorti², Argyrios Giannopoulos¹, Kyriakos Ktenidis¹

Affiliations

¹ Department of Vascular Surgery, AHEPA (American Hellenic Educational and Progressive Association) University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.
² Department of Surgery, AHEPA (American Hellenic Educational and Progressive Association) University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Abstract

Limb graft occlusion (LGO) is a common complication that can occur after endovascular aneurysm repair (EVAR). There are many factors that can contribute to LGO, including patient-related variables, device-related considerations, and factors associated with the procedural technique. Patients with LGO may exhibit no symptoms, have intermittent claudication, or suffer from acute limb ischemia. In this manuscript, we present a case of a 64-year-old male who experienced sequential LGOs after EVAR accompanied by a comprehensive review of the pertinent literature.

Keywords: clopidogrel resistance; evar; graft limb occlusion; iliac limb occlusion; sequential limb occlusion.

Publication types

Case Reports