Hybrid surgery for acute iliofemoral artery thrombosis (case report)

• Vaganov A.G.
• Nochnoy M.S.
• Lisitsky D.A.
• Gavrilenko A.V.

Abstract

One of the main causes of acute arterial thrombosis of the lower extremity is an occlusive stenotic atherosclerotic vascular lesion. Thrombosis in this situation can develop on the background of the existing chronic limb ischemia, as well as in the absence thereof, manifesting as intense pain in the leg. The article presents a clinical case report regarding successful application of hybrid surgery for subacute thrombosis of the external iliac and common femoral arteries against the background of their atherosclerotic asymptomatic lesion. This method was chosen due to the exclusion of the embolic nature of ischemia and the impossibility of the isolated use of endovascular revascularization methods. The result was complete sustainable regression of clinical symptoms, achieved by combining thrombectomy, as an open stage of surgery, with endovascular stenting in the area of an unstable plaque.

Funding. The study had no financial support.

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

Authors’ contribution. Conception of the method of surgical treatment – Gavrilenko A.V.; participation in the operational procedure – Lisitsky D.A., Vaganov A.G., Nochnoy M.S.; data handling – Vaganov A.G., Nochnoy M.S.; draft manuscript preparation – Vaganov A.G., Lisitsky D.A.; manuscript revision – Gavrilenko A.V.

For citation: Vaganov A.G., Nochnoy M.S., Lisitsky D.A., Gavrilenko A.V. Hybrid surgery for acute iliofemoral artery thrombosis (case report). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2024; 30 (1): 108–12. DOI: https://doi.org/10.33029/1027-6661-2024-30-1-108-112

Keywords:acute thrombosis; thrombectomy; hybrid surgery; stenting; acute lower limb ischemia