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Vascular and Endovascular Surgery
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Fogarty Balloon Catheter Injury Revisited: A Cause for Progressive Claudication

A Case Report

Jason C. Smith, MD

Douglas C. Smith

Frank C. Taylor

Department of Radiology, Loma Linda University Medical Center, Loma Linda, California

Jeffrey L. Ballard

Department of Surgery, Loma Linda University Medical Center, Loma Linda, California

A 59-year-old competitive ballroom dancer presented with right thigh claudication upon strenuous exercise. Following a diagnostic arteriogram, she underwent aortoiliac reconstruction for an ulcerated and narrowed distal aorta and severely stenotic right common iliac artery. The procedure was complicated by acute graft thrombosis due to a heparininduced "white-clot" syndrome. Several passes were made with Fogarty balloon catheters through each iliac limb and from the femoral arteries down each lower extremity until normal pulses returned. The patient returned 3 months later with a 6-week history of severe disabling bilateral calf claudication. An arteriogram showed diffusely narrowed iliac, femoral, and popliteal arteries, bilaterally, compared to the generous caliber vessels seen 3 months earlier. A diagnosis of myointimal hyperplasia secondary to Fogarty balloon catheter injury was made.

Vascular and Endovascular Surgery, Vol. 34, No. 3, 251-256 (2000)
DOI: 10.1177/153857440003400310
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