Use of Wallstent device as an embolic protection device during stenting of aortic thrombus.
Aortic thrombus
Distal embolization
Embolic protection device
Endovascular stenting
Wallstent
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
14
07
2023
accepted:
20
09
2023
medline:
15
11
2023
pubmed:
15
11
2023
entrez:
15
11
2023
Statut:
epublish
Résumé
Blue toe syndrome can occur due to distal embolization from proximal lesions such as an aortic thrombus. We describe the case of a patient who presented with chronic limb threatening ischemia due to a flow-limiting infrarenal aortic thrombus, with gangrene from distal embolization to the left fifth toe, and was successfully treated with endovascular aortic stent graft insertion. Distal embolization during instrumentation was successfully prevented by using a partially deployed Wallstent (Boston Scientific) as an embolic protection device. The reconstrainable Wallstent device can be considered for distal thromboembolic protection during aortic stenting, in particular, when distal embolization is a concern and commercial devices are not readily available.
Identifiants
pubmed: 37965113
doi: 10.1016/j.jvscit.2023.101340
pii: S2468-4287(23)00249-6
pmc: PMC10641675
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101340Informations de copyright
© 2023 The Author(s).
Déclaration de conflit d'intérêts
None.
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