Stent Endarterectomy and patch closure of occluded infrarenal aortic bare metal stent for critical limb ischemia

Abstract

The technological advances in the field of percutaneous procedures have facilitated the increased use of endovascular modalities for peripheral arterial disease management with benefit of decreased morbidity. Progression of disease in this group of patients has further led to the rise of difficult-to-manage group of patients. We report a case of occluded bare metal infrarenal aortic stent, which was managed by stent endarterectomy of the stent-bearing segment of aorta followed by repair of aortic segment with patch aortoplasty. The patient is doing fine at 8 months of follow-up. This case describes the feasibility of the management of occluded aortic stents placed for occlusive disease by endarterectomy with explantation of stents as revascularization procedure in good-risk patients for surgery.

Keywords

• Aortic endarterectomy
• patch aortoplasty
• stent explantation