Disruption of a Covered Nitinol Self Expanding Stent Graft Implanted in the Common Femoral Artery

Emilie Bonnin, Patrick Lermusiaux, Julien Chakfé, Delphine Dion, Frédéric Heim, Nabil Chakfé, Anne Lejay

Research output: Contribution to journalArticle

Abstract

Introduction: Common femoral artery aneurysm is a rare condition and can be treated by open or endovascular surgery. There is a general understanding that open surgery is the recommended option because of the anatomical location and the biomechanical constraints posed by hip flexion. Report: The case of a 66 year old man treated with an endograft for an asymptomatic abdominal aortic aneurysm followed by the implantation of a nitinol covered stent graft (Fluency™, Bard Peripheral Vascular, Temple, AZ) for a 25 mm diameter left common femoral artery aneurysm is reported. Two years later, follow up revealed a rupture of the nitinol covered stent graft, requiring an open iliofemoral reconstruction. Discussion: Systematic analysis with protocolised cleaning, and macroscopic and microscopic evaluation (Keyence VHX-600 digital microscope) of the explanted nitinol covered stent graft showed membrane perforation at the level of an acute angle formed by the struts.

Original languageEnglish (US)
Pages (from-to)55-59
Number of pages5
JournalEJVES Vascular Forum
Volume47
DOIs
StatePublished - 2020

Keywords

  • Disruption
  • Femoral artery
  • Stentgraft

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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