Off-label use of interwoven carotid stent in common femoral artery occlusion after surgery

Luca Ferretto; Matilde Zamboni; Matteo Vincenzi; Riccardo Bozza; Sabrina Scian; Sandro Irsara

doi:10.1016/j.jvscit.2023.101214

Off-label use of interwoven carotid stent in common femoral artery occlusion after surgery

J Vasc Surg Cases Innov Tech. 2023 May 16;9(3):101214. doi: 10.1016/j.jvscit.2023.101214. eCollection 2023 Sep.

Authors

Luca Ferretto¹, Matilde Zamboni¹, Matteo Vincenzi², Riccardo Bozza¹, Sabrina Scian¹, Sandro Irsara¹

Affiliations

¹ Vascular and Endovascular Surgery Section, Vascular Surgery and Angiology Unit, AULSS 1 Dolomiti, San Martino Hospital, Belluno, Italy.
² Department of Radiology, AULSS 1 Dolomiti, San Martino Hospital, Belluno, Italy.

Abstract

Open surgery is the gold standard for treating common and deep femoral arterial lesions. Nevertheless, significant data have emerged in recent years supporting an endovascular strategy for this peculiar anatomic region, despite certain disadvantages, including the requirement for strong compression resistance and excellent flexibility and conformability when stents are implanted. We present a case of critical limb ischemia due to total common and deep femoral arteries occlusion after endarterectomy that resulted in a very tapered lesion. It was successfully treated with percutaneous angioplasty and off-label application of an interwoven nitinol Roadsaver carotid artery stent, which demonstrated good adaptability.

Keywords: Carotid stent; Chronic limb-threatening ischemia; Common femoral artery; Endovascular; Off-label use.

Publication types

Case Reports