Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2012 , Vol 21 , Issue 2
Stent-Related Popliteal Artery Infection After Aspiration Thrombectomy, Nitinol Stenting and Thrombolysis
İsa COŞKUN, Orhan Saim DEMİRTÜRK, Hüseyin Ali TÜNEL, Meltem AÇIL, Uğur ÖZKAN, Öner GÜLCAN
1Clinics of Cardiovascular Surgery, Başkent University Adana Research and Training Center, Adana
2Anesthesiology and Reanimation, Başkent University Adana Research and Training Center, Adana
3Interventional Radiology, Başkent University Adana Research and Training Center, Adana
We present a case of nitinol stent-related popliteal artery infection after aspiration thrombectomy and thrombolysis in a 74-year-old patient who was"admitted to the interventional radiology department of our institution instead of cardiovascular surgery because of his comorbidities and the chronicity of his thromboses. Occlusion due to chronic thromboembolism was demonstrated in the right femoral, popliteal and proximal crural arteries. Thromboaspiration was performed. A stent was implanted in the popliteal artery because of accidental intimal dissection. Ten days later in-stent thrombosis was detected. Tissue plasminogen activator was administered. A second stent was implanted proximal to the original stent. Upon detection of high fever, color Doppler ultrasonography was performed. A large hematoma and pseudoaneurysm with stent thrombosis were detected. Surgical intervention was indicated as stent infection and thrombosis were likely. Debridement and saphenous vein femoropopliteal bypass were performed. The patient has no claudication 33 months after the operation. Antibiotic prophylaxis should be administered to high-risk patients requiring long-term endovascular therapy with percutaneous aspiration thrombectomy, intraluminal catheter and stent application. Keywords : Endovascular therapy; stent infection; aspiration thrombectomy; nitinol stent; surgical treatment
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