Key result
FEVAR leads to bilateral lower extremity compartment syndrome from sheath-induced occlusion.
Why the study?
Ischemic complications after fenestrated endovascular aortic aneurysm repair can cause significant morbidity and mortality and require careful postoperative monitoring.
Case Report (n=1)
Large sheaths used in FEVAR can cause occlusive lower extremity ischemia leading to compartment syndrome, necessitating careful postoperative monitoring.
Sheath occlusion may cause post-FEVAR compartment syndrome without embolization; single case leaves open optimal preventive protocols.
Ischemic complications after fenestrated endovascular aortic aneurysm repair (FEVAR) can result in significant morbidity and mortality. We present a case of a 65-year-old man who underwent a FEVAR complicated by bilateral lower extremity compartment syndrome requiring four-compartment fasciotomies. This ischemic complication was likely caused by sheath occlusion because the patient had no evidence of arterial injury or distal plaque embolization. This case highlights the importance of careful postoperative monitoring after FEVAR, because the larger sheaths required can be occlusive and result in lower extremity ischemia, even for relatively short cases.
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Charitable et al. (2017) conducted a case report in Abdominal aortic aneurysm (n=1). Fenestrated endovascular aortic aneurysm repair (FEVAR) was evaluated on Lower extremity compartment syndrome. Fenestrated endovascular aortic aneurysm repair (FEVAR) was complicated by bilateral lower extremity compartment syndrome requiring four-compartment fasciotomies, likely due to sheath occlusion.
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