Late effect of an embolized coronary stent in the lower extremities

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dc.catalogadorpau
dc.contributor.authorGonzález Urquijo, Mauricio
dc.contributor.authorValdés, Francisco
dc.contributor.authorMarine, Leopoldo
dc.contributor.authorVargas, José Francisco
dc.contributor.authorBergoeing, Michel
dc.date.accessioned2025-05-23T15:40:23Z
dc.date.available2025-05-23T15:40:23Z
dc.date.issued2025
dc.description.abstractTo report a late complication involving an embolized stent that migrated into the peripheral circulation during an emergency coronary intervention. Case Report: A 69-year-old man with a history of myocardial infarction 12 years prior, during which he experienced prolonged cardiac arrest following a failed coronary stenting attempt and subsequent aorto-coronary bypass surgery, presented to the emergency department with acute limb ischemia in the right lower limb. A CT angiogram revealed complete occlusion of the popliteal artery and a hyperdense image at the tibioperoneal trunk. Popliteal artery exploration and embolectomy successfully restored proximal blood flow; however, a firm occlusion at the tibioperoneal trunk necessitated an arteriotomy. This procedure uncovered a coronary stent adhered to the endothelium, which was removed via endarterectomy. The patient was prescribed rivaroxaban for six months. At a six-year follow-up, he remains well and asymptomatic, continuing on aspirin and a reduced dose of rivaroxaban. Conclusion: This case underscores the importance of monitoring long-term complications following coronary interventions and highlights the need for vigilance in managing patients at risk for device embolization.
dc.fechaingreso.objetodigital2025-05-23
dc.format.extent4 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.avsurg.2025.100382
dc.identifier.urihttps://doi.org/10.1016/j.avsurg.2025.100382
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/104467
dc.information.autorucEscuela de Medicina; Marine, Leopoldo; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Vargas, José Francisco; S/I; 121516
dc.information.autorucEscuela de Medicina; Bergoeing, Michel; 0000-0002-8900-1645; 92603
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaAnnals of Vascular Surgery
dc.rightsacceso abierto
dc.subjectCoronary stent embolization
dc.subjectForeign body embolization
dc.subjectAcute limb ischemia
dc.subjectCoronary artery
dc.subjectCoronary stent
dc.subject.ddc620
dc.subject.deweyIngenieríaes_ES
dc.titleLate effect of an embolized coronary stent in the lower extremities
dc.typeartículo
sipa.codpersvinculados4085
sipa.codpersvinculados121516
sipa.codpersvinculados92603
sipa.trazabilidadORCID;2025-05-19
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