Case report demonstrates complete graft patency restoration in an adult with total aortic graft occlusion, highlighting catheter-directed thrombolysis as an alternative to surgery.
Endovascular aortic aneurysm repair has specific complications, of these there have been few reports of complete body and bilateral limb occlusion. We describe a case of a 67 year old man presenting with complete EVAR body and bilateral limb graft occlusion treated with percutaneous catheter-directed thrombolysis. Complete graft patency was obtained within 24 h. Complete EVAR graft body and bilateral limb is exceedingly uncommon. Treatments suggested include surgical bypass axillo- or aorto- bifemoral, and surgical thrombectomy. We have described a novel method of percutaneous catheter directed thrombolysis with good results.
No takes yet. Share an insight, caveat, or question.
Alder et al. (2012) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: