Peer-reviewedCC BY-NC-NDJournal of Vascular Surgery Cases and Innovative Techniques
“Pave and Cover” strategy for Rotarex-assisted endovascular repair of thrombosed popliteal artery aneurysm to mitigate distal embolization
- 1Division of Vascular and Endovascular Surgery, Department of Surgery, Bongseng Memorial Hospital, Busan, Republic of Korea
- 2Division of Vascular and Endovascular Surgery, Department of Surgery, Pusan National University Hospital, Busan, Republic of Korea
Abstract
Distal embolization is a concern during endovascular repair of thrombosed popliteal artery aneurysm. We describe the “Pave and Cover” strategy, in which rotational thrombectomy is used to create a device-traversable channel before stent graft delivery, with the aim of reducing device-thrombus interaction. A 75-year-old man without suitable venous conduit underwent rotational thrombectomy followed by direct covered stent graft deployment. Complete aneurysm exclusion was achieved without angiographically evident distal embolization, and ankle-brachial index improved from unmeasurable to 1.06. One-month imaging confirmed stent graft patency. This case is hypothesis-generating and does not establish embolic protection or superiority.
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BibTeX
@article{jehyungpark2026pave,
title = {{“Pave and Cover” strategy for Rotarex-assisted endovascular repair of thrombosed popliteal artery aneurysm to mitigate distal embolization}},
author = {Je Hyung Park, MD and Hyuk Jae Jung, MD, PhD and Sang-Su Lee, MD, PhD},
journal = {Journal of Vascular Surgery Cases and Innovative Techniques},
year = {2026},
month = aug,
doi = {10.1016/j.jvscit.2026.102472},
url = {https://doi.org/10.1016/j.jvscit.2026.102472},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - “Pave and Cover” strategy for Rotarex-assisted endovascular repair of thrombosed popliteal artery aneurysm to mitigate distal embolization
AU - Je Hyung Park, MD
AU - Hyuk Jae Jung, MD, PhD
AU - Sang-Su Lee, MD, PhD
PY - 2026
DA - 2026/08/24
JO - Journal of Vascular Surgery Cases and Innovative Techniques
DO - 10.1016/j.jvscit.2026.102472
UR - https://doi.org/10.1016/j.jvscit.2026.102472
AB - Distal embolization is a concern during endovascular repair of thrombosed popliteal artery aneurysm. We describe the “Pave and Cover” strategy, in which rotational thrombectomy is used to create a device-traversable channel before stent graft delivery, with the aim of reducing device-thrombus interaction. A 75-year-old man without suitable venous conduit underwent rotational thrombectomy followed by direct covered stent graft deployment. Complete aneurysm exclusion was achieved without angiographically evident distal embolization, and ankle-brachial index improved from unmeasurable to 1.06. One-month imaging confirmed stent graft patency. This case is hypothesis-generating and does not establish embolic protection or superiority.
SN - 2468-4287
ER -