Crush Deformation of a Balloon-Expandable Stent Implanted in an Infrainguinal Bypass Graft. (August 2017)

• Record Type: Journal Article
• Authors: Ahmed, Nida; El-Khoury, Rym; Sabri, Moustafa N.; White, John V.; Jacobs, Chad E.; Schwartz, Lewis B.
• Is Part Of: Vascular & endovascular surgery. Volume 51:Number 6(2017)
• Page Start: 403
• Page End: 407
• Publication Date: 2017-08
• Subjects: stent deformation -- vein graft stenosis -- vein graft stent -- endovascular stenting -- crush deformation of intravascular stent; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574417714396
• Languages: English
• ISSNs: 1538-5744

Abstract

A 59-year-old man with critical claudication underwent left femoro-anterior bypass grafting, which was uneventful. The graft was tunneled medially across the knee, then anterior to the tibia. His symptoms recurred 1 year later and he was found to have critical stenosis of the vein graft just proximal to the anterior tibial arterial anastomosis. This was treated with scaffolded balloon angioplasty and implantation of a coronary, zotarolimus-eluting balloon-expandable stent, which was also uneventful. However, his claudication again recurred 1 year later. Diagnostic angiography revealed crush, deformation and restenosis of the balloon-expandable stent requiring surgical revision of the bypass graft.