Late effect of an embolized coronary stent in the lower extremities
Purpose: To report a late complication involving an embolized stent that migrated into the peripheral circulation during an emergency coronary intervention. Case Report: A 69-year-old man with a history of myocardial infarction 12 years prior, during which he experienced prolonged cardiac arrest fol...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687825000236 |
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| Summary: | Purpose: To report a late complication involving an embolized stent that migrated into the peripheral circulation during an emergency coronary intervention. Case Report: A 69-year-old man with a history of myocardial infarction 12 years prior, during which he experienced prolonged cardiac arrest following a failed coronary stenting attempt and subsequent aorto-coronary bypass surgery, presented to the emergency department with acute limb ischemia in the right lower limb. A CT angiogram revealed complete occlusion of the popliteal artery and a hyperdense image at the tibioperoneal trunk. Popliteal artery exploration and embolectomy successfully restored proximal blood flow; however, a firm occlusion at the tibioperoneal trunk necessitated an arteriotomy. This procedure uncovered a coronary stent adhered to the endothelium, which was removed via endarterectomy. The patient was prescribed rivaroxaban for six months. At a six-year follow-up, he remains well and asymptomatic, continuing on aspirin and a reduced dose of rivaroxaban. Conclusion: This case underscores the importance of monitoring long-term complications following coronary interventions and highlights the need for vigilance in managing patients at risk for device embolization. |
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| ISSN: | 2772-6878 |