It was reported that there was total occlusion of the previously stented lesion which required intervention.This 7x120, 130 cm eluvia drug-eluting vascular stent system was previously placed during a percutaneous transluminal angioplasty procedure.The patient received stents in the left external iliac, right superficial femoral, and popliteal arteries.The patient later presented with right lower extremity incapacitating claudication.An abdominal aortogram, bilateral lower extremity arteriogram, selective right lower extremity arteriogram from the common femoral artery, and additional selective right lower extremity arteriogram from the popliteal artery were performed.These showed total occlusion of the superficial femoral artery (sfa), and above-knee popliteal artery with high grade obstruction of the profunda femoris.Therefore, atherectomy with angioplasty of the right superficial femoral and popliteal arteries, and balloon angioplasty of the right profunda femoris were performed.Diagnostic films afterward showed evidence of vasospasm which resolved after administration of intra-arterial nitroglycerin.There were no other patient complications.
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