Page 20 - Virtual Vascular Vol 14
P. 20
EVAR Limb Occlusion
This is a patient with a 5cm infra-renal abdominal aortic aneurysm.
Endovascular aneurysm repair (EVAR) was performed as shown on the above
completion angiogram
He complained of sudden onset left lower limb claudication 1 week after the
EVAR
The left femoral pulse was absent. Duplex ultrasound showed thrombosis of
the left iliac limb of the EVAR stent graft
It is suspected to be caused by an acute kink over the graft due to the
anatomy of the arteries (as shown by the arrows)
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