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Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts
BACKGROUND: Neointima formation and hyperplasia in vascular grafts may lead to graft complications threatening the patency of the vascular reconstruction. A rare complication to endovascular treatment of grafts and stent grafts is dissection inside the graft. CASE REPORT: We present here a case of a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593731/ https://www.ncbi.nlm.nih.gov/pubmed/37870690 http://dx.doi.org/10.1186/s42155-023-00401-x |
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author | Larsen, Anne Sofie F. Aslam, Shakil Holmen, Lars Olaf |
author_facet | Larsen, Anne Sofie F. Aslam, Shakil Holmen, Lars Olaf |
author_sort | Larsen, Anne Sofie F. |
collection | PubMed |
description | BACKGROUND: Neointima formation and hyperplasia in vascular grafts may lead to graft complications threatening the patency of the vascular reconstruction. A rare complication to endovascular treatment of grafts and stent grafts is dissection inside the graft. CASE REPORT: We present here a case of a 69-year-old female with acute occlusion of the limb of an aorto-bifemoral graft for the third time, 16 years after the primary operation. As at the first two occasions, catheter-based intra-arterial thrombolysis was performed, but with residual stenosis inside the graft. During stent placement, dissection of the neointima or fibrin sheet occluded the inflow to the stent. The complication was resolved with placement of kissing stents. CONCLUSIONS: It is important to recognize iatrogenic neointima dissection inside graft and stent grafts, as continued thrombolysis will not solve this, but increase the risk of hemorrhagic complications. |
format | Online Article Text |
id | pubmed-10593731 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-105937312023-10-25 Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts Larsen, Anne Sofie F. Aslam, Shakil Holmen, Lars Olaf CVIR Endovasc Case Report BACKGROUND: Neointima formation and hyperplasia in vascular grafts may lead to graft complications threatening the patency of the vascular reconstruction. A rare complication to endovascular treatment of grafts and stent grafts is dissection inside the graft. CASE REPORT: We present here a case of a 69-year-old female with acute occlusion of the limb of an aorto-bifemoral graft for the third time, 16 years after the primary operation. As at the first two occasions, catheter-based intra-arterial thrombolysis was performed, but with residual stenosis inside the graft. During stent placement, dissection of the neointima or fibrin sheet occluded the inflow to the stent. The complication was resolved with placement of kissing stents. CONCLUSIONS: It is important to recognize iatrogenic neointima dissection inside graft and stent grafts, as continued thrombolysis will not solve this, but increase the risk of hemorrhagic complications. Springer International Publishing 2023-10-23 /pmc/articles/PMC10593731/ /pubmed/37870690 http://dx.doi.org/10.1186/s42155-023-00401-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Larsen, Anne Sofie F. Aslam, Shakil Holmen, Lars Olaf Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title | Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title_full | Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title_fullStr | Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title_full_unstemmed | Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title_short | Neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
title_sort | neointimal dissection – a rare complication to endovascular treatment in grafts and stent grafts |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593731/ https://www.ncbi.nlm.nih.gov/pubmed/37870690 http://dx.doi.org/10.1186/s42155-023-00401-x |
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