Recurrent peripheral ischemia following endovascular repair of an infrarenal aortic aneurysm: what did we miss?

Laith A Ayasa, Anas Odeh, Saad Abuzahra, Fatima Abd Aljalil, Ahmad Qozat

Abstract readCase Reports

In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Laith A AyasaFaculty of Medicine, Al Quds University, Mount of Olives Street 26, Sheikh Jarrah, PO Box 22246, Jerusalem 91513, Palestine.

Anas OdehDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, PO Box 7, Nablus, Palestine.

Saad AbuzahraDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, PO Box 7, Nablus, Palestine.

Fatima Abd AljalilCleveland Clinic Fairview Hospital, 18101 Lorain Ave, Cleveland, United States.

Ahmad QozatVascular Surgery Department, Bonifatius Hospital, Wilhelmstraße 13, 49808 Lingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We document a case of a 75-year-old patient with a history of hypercholesterolemia and hypertension, who underwent endovascular aortic repair (EVAR) for an infrarenal abdominal aortic aneurysm (AAA) with common iliac artery ectasia. Despite an initially successful procedure, the patient experienced recurrent episodes of acute limb ischemia in his right leg. Subsequent imaging revealed thrombus formation distal to the stent graft, constituting a potential source of embolization, which warranted a reevaluation of the treatment strategy. This case highlights some of the complexities associated with managing AAA patients. In the context of EVAR, it emphasizes the significance of careful patient selection, meticulous endograft implantation, and watchful follow-up while tailoring treatment according to individual patient needs and anatomical considerations.

Indexed as

abdominal aortic aneurysmacute limb ischemiaatheromatous plaqueendovascular aneurysm repairrecurrent embolization

Identifiers

PMID39790180

DOI10.1093/jscr/rjae823

PMCPMC11716807

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.