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Peer-reviewedCC BY-NC-NDJournal of vascular surgery cases and innovative techniques

Intravascular ultrasound-guided repair of delayed traumatic popliteal artery occlusion using an interwoven nitinol stent.

  • Jumpei Otsuji1,2
  • Yuta Imai1
  • Fumihide Sato3
  1. 1Department of Cardiology, Saiseikai Shiga Hospital, Ritto, Shiga, Japan.
  2. 2Department of Cardiology, Rakuwakai Otowa Hospital, Yamashina-ku, Kyoto, Japan.
  3. 3Department of Orthopedic Surgery, Saiseikai Shiga Hospital, Ritto, Shiga, Japan.
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Abstract

Traumatic popliteal artery occlusion is a limb-threatening condition traditionally managed with open surgical revascularization. Here, we describe a 66-year-old man with delayed occlusion after high-energy lower-extremity trauma. Initial computed tomography angiography indicated preserved flow despite severe arterial deformation. Progressive heel necrosis developed after fracture fixation and debridement; repeat imaging on day 24 showed complete occlusion of the popliteal artery. Intravascular ultrasound-guided endovascular repair with an interwoven nitinol stent restored antegrade flow. Wound healing was achieved after flap and skin graft procedures, and stent patency was maintained for >2.5 years.

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Cite

BibTeXRIS
BibTeX
@article{otsuji2026intravascular,
  title = {{Intravascular ultrasound-guided repair of delayed traumatic popliteal artery occlusion using an interwoven nitinol stent.}},
  author = {Jumpei Otsuji and Yuta Imai and Fumihide Sato},
  journal = {Journal of vascular surgery cases and innovative techniques},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jvscit.2026.102512},
  url = {https://europepmc.org/article/MED/42898565},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Intravascular ultrasound-guided repair of delayed traumatic popliteal artery occlusion using an interwoven nitinol stent.
AU  - Jumpei Otsuji
AU  - Yuta Imai
AU  - Fumihide Sato
PY  - 2026
DA  - 2026/09/16
JO  - Journal of vascular surgery cases and innovative techniques
DO  - 10.1016/j.jvscit.2026.102512
UR  - https://europepmc.org/article/MED/42898565
AB  - Traumatic popliteal artery occlusion is a limb-threatening condition traditionally managed with open surgical revascularization. Here, we describe a 66-year-old man with delayed occlusion after high-energy lower-extremity trauma. Initial computed tomography angiography indicated preserved flow despite severe arterial deformation. Progressive heel necrosis developed after fracture fixation and debridement; repeat imaging on day 24 showed complete occlusion of the popliteal artery. Intravascular ultrasound-guided endovascular repair with an interwoven nitinol stent restored antegrade flow. Wound healing was achieved after flap and skin graft procedures, and stent patency was maintained for >2.5 years.
SN  - 2468-4287
ER  -