Nonheparin-bonded stent relining in a case of subacute in-stent thrombosis secondary to heparin-induced thrombocytopenia
Abstract
A 62-year-old man with incidentally discovered bilateral popliteal artery aneurysms presented with acute critical limb ischemia with a thrombosed popliteal stent, thrombocytopenia, and positive platelet factor 4 antibodies suggesting a diagnosis of type II heparin-induced thrombocytopenia 2 weeks after popliteal artery aneurysm stenting. He was treated with urgent thrombolysis, bivalirudin, and fondaparinux followed by re-intervention with relining of the popliteal artery stents with nonheparin-bonded Viabahn covered stents. At the 6-month follow-up, his platelet count remained above 100,000. He has been successfully transitioned to a direct oral anticoagulant without further complications.
Fields of Study & Subjects
Heparin-Induced Thrombocytopenia and Thrombosis
Acute Myocardial Infarction Research
Blood Coagulation and Thrombosis Mechanisms
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Publisher
- Elsevier BV
- Volume
- 12
- Issue
- 3
- Pages
- 102198–102198
- Publication date
- 26 February 2026
- Language
- EN