6533b7d9fe1ef96bd126c2b7

RESEARCH PRODUCT

Symptomatic Deep Femoral Artery Pseudoaneurysm Endovascular Exclusion. Case Report and Literature Review.

Guido BajardiGiovanni BadalamentiA FarinaFelice PecoraroEttore DinotoUmberto Bracale

subject

AdultMalemedicine.medical_specialtyComputed Tomography Angiographymedicine.medical_treatment030204 cardiovascular system & hematologySettore MED/22 - Chirurgia Vascolare030218 nuclear medicine & medical imaging03 medical and health sciencesPseudoaneurysmBlood Vessel Prosthesis Implantation0302 clinical medicineAneurysmBlood vessel prosthesisDeep Femoral ArteryMedicineVascular PatencyHumansVascular PatencyUltrasonography Doppler Duplexbusiness.industryEndovascular ProceduresStentGeneral Medicinemedicine.diseaseSurgeryBlood Vessel ProsthesisFemoral Arterysurgical procedures operativeTreatment OutcomeRegional Blood FlowSurgeryStentsWounds GunshotRadiologyGunshot woundbusinessCardiology and Cardiovascular MedicinePenetrating traumaAneurysm False

description

Deep femoral artery pseudoaneurysms (DFAPs) are rare and generally occur after penetrating trauma or surgical procedures. A 36-year-old obese man presented with pain in correspondence of the anterior-lateral thigh after 6 months from gunshot wound. Duplex and computed tomography (CT) showed a bilobed right DFAP (maximal diameter 12.9 cm). The patient was managed urgently, under local anesthesia, by placement in the distal DFA of a Viabahn 8 × 100-mm stent graft (W L Gore & Associates, Inc). The postoperative course was uneventful, and the 24-month CT showed regular stent-graft patency and 20-mm DFAP shrinkage. The literature review reported 8 cases of DFAPs; of these 6 were managed by endovascular mean (3 stent-graft implantations and 3 coil embolization). The remaining 2 cases were managed surgically (one of these after failed coil embolization). In conclusion, the use of covered stent graft was effective to treat a DFAP localized in the medium DFA. This tool allowed maintaining the native DFA patency and the preservation of its main branches.

yearjournalcountryeditionlanguage
2017-01-01Annals of vascular surgery
10.1016/j.avsg.2016.11.026https://pubmed.ncbi.nlm.nih.gov/28390919