Medknow Publications on behalf of Association of Surgeons of India
Abstract
This report describes a case of the successful surgical removal of a
Palmaz stent accidentally stuck in the left superficial femoral artery.
A 58-year-old man was referred to us with complaints of intermittent
claudication in his left leg after walking 500 metres. Diagnostic
angiography of the lower extremity showed 90% stenosis with a short
segment at the left superficial femoral artery and percutaneous
transluminal angioplasty (PTA) was performed. The angiogram just after
PTA revealed a dissection of the artery. A Palmaz stent implant was
attempted in order to seal off the dissection. The balloon used to
dilate the stent burst, resulting in insufficient stent expansion, and
it became stuck. Surgical operation to remove the stuck stent and
reconstruct the blood flow through the left superficial femoral artery
by artificial prosthesis grafting proved successful