Work

“Pave and Cover” strategy for Rotarex-assisted endovascular repair of thrombosed popliteal artery aneurysm to mitigate distal embolization

Year: 2026

Type: article

Abstract: Distal embolization is a concern during endovascular repair of thrombosed popliteal artery aneurysm. We describe the "Pave and Cover" strategy, in which rotational thrombectomy is used to create a device-traversable channel before stent graft delivery, with the aim of reducing device-thrombus interaction. A 75-year-old man without suitable venous conduit underwent rotational thrombectomy followed by direct covered stent graft deployment. Complete aneurysm exclusion was achieved without angiographically evident distal embolization, and ankle-brachial index improved from unmeasurable to 1.06. One-month imaging confirmed stent graft patency. This case is hypothesis-generating and does not establish embolic protection or superiority.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102472

Authors: Je Hyung Park, Hyuk Jae Jung, Sang-Su Lee

Institutions: BongSeng Memorial Hospital, Pusan National University Hospital, Pusan National University, Pusan National University Yangsan Hospital

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250