• Jianguo Zhou, Guosong Zha, and Guosheng Qian.
• Department of General Surgery, Linping Campus, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
• Medicine (Baltimore). 2022 Mar 11; 101 (10): e29042e29042.

RationaleLower extremity arteriosclerosis obliterans (ASO) disease is caused by the formation of atherosclerotic plaque in the femoral artery, which causes the stenosis and occlusion of lower legs, and then leads to chronic limb ischemia. Stent intervention is the most common treatment for ASO in the lower extremities, although there is a risk of overstretching or fracturing the stent, resulting in stent rupture. We provide a unique method for treating stent rupture.Patient ConcernsA 79-year-old male presented with intermittent claudication of the left lower limb for 6 months. Five years ago, a stent was placed in the lower extremity femoral artery. According to the examination, the stent suffered a modest torsional fracture.DiagnosisThe case was diagnosed with lower extremity ASO.InterventionsWe performed a combination of femoral endarterectomy and interventional surgery.OutcomesBlood flow was restored after the hybrid operation has been used to treat arterial stenosis in the lower limbs.ConclusionIntegrating vascular interventional surgeries can shorten surgical procedures time and increase success rates.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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