Work

Endovascular treatment of an aneurysmal vein graft twenty-six years after infrainguinal revascularization

Year: 2023

Type: article

Abstract: Open surgical bypass with single-segment greater saphenous vein remains the most durable revascularization option in symptomatic peripheral arterial disease. Aneurysmal degeneration of autologous conduit is quite rare. Herein is reported a case of a 78-year-old man who presented with a pulsatile medial thigh mass twenty-six years after ipsilateral infrainguinal autologous vein bypass grafting for lifestyle-limiting intermittent claudication. This was found to represent aneurysmal degeneration of the proximal vein graft with mural thrombus. He underwent an uneventful percutaneous endovascular venous aneurysm repair with implantation of a covered self-expanding endoprosthesis and preservation of his patent bypass.

Source: Annals of Vascular Surgery - Brief Reports and Innovations

DOI: 10.1016/j.avsurg.2023.100189

Authors: Pavithra Ramanathan, Rym El Khoury, Gaurang Joshi, Chad E. Jacobs, John V. White, Lewis B. Schwartz

Institutions: Advocate Lutheran General Hospital, University of California, San Francisco

Language: English

Topic: Peripheral Artery Disease Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,500