Abstract
We report a case involving an acute chronic endovascular abdominal aortic stent graft occlusion in which percutaneous angioplasty was performed via bilateral trans femoral approach. This case emphasized that endograft occlusion treatment after endovascular aortic aneurysm repair (EVAR) is feasible.
Highlights
The endovascular treatment of abdominal aortic aneurysm when compared to conventional treatment is less invasive and presenting lower morbidity, mortality, especially in patients with high anesthetic-surgical risk [1,2,3]
We present a case of total occlusion of the endograft after long-term aortic aneurism repair
Occlusion of the internal iliac artery or unrecognized distal dissection may increase the risk of limb thrombosis [10,11]
Summary
The endovascular treatment of abdominal aortic aneurysm when compared to conventional treatment is less invasive and presenting lower morbidity, mortality, especially in patients with high anesthetic-surgical risk [1,2,3]. A 59-year-old female patient smoker and with systemic hypertension was admitted in the emergency room with pain and paraesthesia in both legs, absence of pulses in the lower limbs, with a history of aortic aneurysm repair of the abdominal aorta by endovascular technique in 2009 with another team. The patient was taken to the ICU and was discharged on the fourth postoperative day Since she maintains clinical follow-up with improvement of. From the left to the right- (2) Mechanical thrombectomy with Rotarex® and pharmacological thrombolysis with actilyse and catheter-directed thrombolysis
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