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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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687825000236 |
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| author | Mauricio Gonzalez-Urquijo Francisco Valdes Leopoldo Marine Jose Francisco Vargas Michel Bergoeing |
| author_facet | Mauricio Gonzalez-Urquijo Francisco Valdes Leopoldo Marine Jose Francisco Vargas Michel Bergoeing |
| author_sort | Mauricio Gonzalez-Urquijo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8c7c8b53d74a4a65866c30d6ef54030f |
| institution | OA Journals |
| issn | 2772-6878 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj-art-8c7c8b53d74a4a65866c30d6ef54030f2025-08-20T02:06:19ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782025-06-015210038210.1016/j.avsurg.2025.100382Late effect of an embolized coronary stent in the lower extremitiesMauricio Gonzalez-Urquijo0Francisco Valdes1Leopoldo Marine2Jose Francisco Vargas3Michel Bergoeing4Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, ChileCorresponding author at: Department of Vascular and Endovascular Surgery, Medical School, Pontifical Catholic University of Chile, Santiago, Chile Av. Apoquindo 3990 of. 601, Santiago 7550112, Chile.; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, ChileDepartamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, ChileDepartamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, ChileDepartamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, ChilePurpose: 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.http://www.sciencedirect.com/science/article/pii/S2772687825000236Coronary stent embolizationForeign body embolizationAcute limb ischemiaCoronary arteryCoronary stent |
| spellingShingle | Mauricio Gonzalez-Urquijo Francisco Valdes Leopoldo Marine Jose Francisco Vargas Michel Bergoeing Late effect of an embolized coronary stent in the lower extremities Annals of Vascular Surgery - Brief Reports and Innovations Coronary stent embolization Foreign body embolization Acute limb ischemia Coronary artery Coronary stent |
| title | Late effect of an embolized coronary stent in the lower extremities |
| title_full | Late effect of an embolized coronary stent in the lower extremities |
| title_fullStr | Late effect of an embolized coronary stent in the lower extremities |
| title_full_unstemmed | Late effect of an embolized coronary stent in the lower extremities |
| title_short | Late effect of an embolized coronary stent in the lower extremities |
| title_sort | late effect of an embolized coronary stent in the lower extremities |
| topic | Coronary stent embolization Foreign body embolization Acute limb ischemia Coronary artery Coronary stent |
| url | http://www.sciencedirect.com/science/article/pii/S2772687825000236 |
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