Successful Endovascular Repair of an Iatrogenic Perforation of the Superficial Femoral Artery Using Self-Expanding Nitinol Supera Stents in a Patient with Acute Thromboembolic Limb Ischemia

Figure 2

Occlusion of the CFA is noticed by DSA (a). Rotarex catheter thrombectomy reestablishes antegrade flow in the CFA and SFA (b), but thrombotic burden remains high as it can be appreciated by the orange arrows in (c). Mid and distal parts of the SFA with thrombus formations can also be appreciated in (d). After repeated Rotarex thrombectomy a perforation of the SFA is noticed, with persistent despite prolonged balloon inflation (orange arrows in (e)–(g)). Subsequently, 2 overlapping nitinol Supera stents are implanted (h), resulting in complete cessation of the bleeding complication (orange arrow in (i)).

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)