Endovascular Repair of an Aorto-Bifemoral Graft Limb Anastomotic Stenosis

about this presentation

60 year old female, smoker, underwent aorto-bifemoral bypass graft placement for severe iliac artery occlusive disease and short distance claudication. Patient had symptomatic improvement but quickly deteriorated on the right with worse symptoms than prior to surgery. Exercise ABI's showed severe PAD with claudication at 125 yards. Patient was at risk of losing employment - patient works in a Walmart warehouse and could not walk quickly or far enough. Patient did not want another open procedure. Endovascular repair was accomplished in 60 minutes using atherectomy and angioplasty. Patient returned to work the next day symptom free. In addition, the patients rest pain and night resolved.

More Seldinger Files

Critical Limb IschemiaSFA Recanalization and viabhaun stenting after failed bypass graft

71 year old female with a non healing ulcer on the left foot.

Critical Limb IschemiaRest pain in a 104 year old female

104 year old female with worsening left foot rest pain

Critical Limb IschemiaPedal Loop Reconstruction

46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.