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Case Reports
. 2021 May 20;7(3):474-477.
doi: 10.1016/j.jvscit.2021.04.020. eCollection 2021 Sep.

Remote endarterectomy to remove infected Viabahn stent-graft

Christopher L Tarola  1 , Morgan Young-Speirs  2 , John W D Speirs  3 , Carman M Iannicello  4
Affiliations
Case Reports

Remote endarterectomy to remove infected Viabahn stent-graft

Christopher L Tarola et al. J Vasc Surg Cases Innov Tech. .

Abstract

Infection of peripheral arterial vascular grafts and stent-grafts represents a complex surgical scenario, with a number of proposed management strategies. Surgical removal of infected material with adjunctive arterial reconstruction is often required. However, surgical removal is often difficult and complex. This case study demonstrates an infected Viabahn stent-graft between the external iliac artery and the superficial femoral artery, with arterial autolysis of the common femoral artery and proximal superficial femoral artery, in which a hybrid technique combining remote endarterectomy and surgical debridement was used to remove the infected stent-graft.

Keywords: Case study; Endarterectomy; Stent-graft removal; Vascular surgery.

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Figures

Fig 1
Fig 1
A, Exposed, infected right common femoral Viabahn stent graft visible at the skin. B, Preoperative angiography demonstrating the location of the Viabahn stent graft extending from the right external iliac artery to the right common femoral artery.
Fig 2
Fig 2
A, Isolation of the distal end of the right Viabahn stent graft (arrow) from the right common femoral artery before the placement of the remote endarterectomy device. B, Remote endarterectomy device placed with a loop surrounding the distal end of the stent graft (arrow) as “endarterectomy core.” C, Explanted Viabahn stent-grafts.
Fig 3
Fig 3
A, Deployment of Amplatzer. B, Remote endarterectomy device surrounding the Viabahn stent-graft core.
See this image and copyright information in PMC

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