Successful Treatment of Bilateral Chronic Ischemia due to Limb Occlusion after Endovascular Aortic Aneurysm Repair

Xin Qi He*

Department of Vascular Surgery, The First Hospital of Hebei Medical University, China

^*Correspondance to: XinQi He 

 PDF  Full Text DOI: 10.25107/2474-1647.3391

Abstract

Purpose: Bilateral limb occlusion after Endovascular Aortic Aneurysm Repair (EVAR) is relatively uncommon. The present report illustrates a successful treatment of bilateral ischemia resulted by chronic limb occlusion after EVAR with Rotarex mechanical thrombectomy devices. Case Report: A 67-year-old male complicated with diabetic, hypertension, Coronary Heart Disease (CHD), and renal insufficiency disease had undergone EVAR for abdominal aortic aneurysm 10 years ago. At 4 years after the first surgery, the patient experienced pain and fatigue in both lower limbs without further examination for false consideration as a manifestation of CHD. In the last 6 months, the patient’s symptoms have worsened, and Computed Tomography Angiography (CTA) confirmed the diagnosis of bilateral limb occlusion. A mechanical thrombectomy for instent restenosis with Rotarex was performed in bilateral iliac limb combined with a bare-metal stent deployment. The patient was followed up for 1 year without any lower ischemic symptoms, and the CTA showed bilateral iliac limb was patent. Conclusion: Rotarex mechanical thrombectomy could be an effective treatment of lower extremity ischemia due to bilateral limb occlusion after EVAR.

Keywords

Cite the article

XinQi He. Successful Treatment of Bilateral Chronic Ischemia due to Limb Occlusion after Endovascular Aortic Aneurysm Repair. Clin Surg. 2022; 7: 3391..