Percutaneous endovascular removal of temporary intraluminal shunt migrated during carotid endarterectomy

• Kondrashin S.A.
• Koblikov V.V.
• Kuzmenkov D.V.

Abstract

Displacement of a temporary shunt during operations on the carotid arteries to various parts of the aorta and arteries of the lower extremities is an extremely rare complication, with only two reports encountered in the available literature.

We herein describe a case of successful endovascular retrieval of a temporary intraluminal Flexcel™ shunt (LeMaitre Vascular, Inc.) having spontaneously migrated to the left common iliac artery during a left-sided carotid endarterectomy in a 69-year-old woman. CT with intravenous contrast enhancement of the abdominal cavity and lesser pelvis was used for topical localization of the migrated temporary shunt. The main tools for percutaneous endovascular removal of foreign bodies from the vascular bed were special nitinol loop snares.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Kondrashin S.A.; data collection and handling – Koblikov V.V., Kuzmenkov D.V.; draft manuscript preparation – Kondrashin S.A., Koblikov V.V.; manuscript revision – Kondrashin S.A., Koblikov V.V., Kuzmenkov D.V.

For citation: Kondrashin S.A., Koblikov V.V., Kuzmenkov D.V. Percutaneous endovascular removal of temporary intraluminal shunt migrated during carotid endarterectomy. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2023; 29 (4): 49–53. DOI: https://doi.org/10.33029/1027-6661-2023-29-4-49-53

Keywords:endovascular removal; intravascular foreign body; Flexcel carotid shunt migration; carotid endarterectomy; loop snare