A Ruptured Popliteal Artery Aneurysm Treated with Coil Embolization

Abstract

A popliteal artery aneurysm is one of the most common peripheral arterial aneurysms. These aneurysms can cause distal embolization and thrombosis, leading to limb loss. However, their rupture is unusual. Here we report a case in which a popliteal aneurysm with chronic occlusion at its outflow artery developed a nonfatal, painful rupture. We performed only coil embolization of the proximal artery, and the aneurysm was successfully excluded. After the procedure, collateral circulation was maintained. No ischemic symptoms such as intermittent claudication or pain at rest were observed. This approach may be useful in treating similar cases.

Ruptured infected popliteal artery aneurysm treated with endovascular therapy: A case report

“…3 Although open surgery remains the first-line treatment for infected rPAA, 2,3 endovascular repair has strong benefit in emergency cases or high-risk surgical patients. 4,5,6,7 In this case, technically challenging endovascular exclusion performed via retrograde approach, followed by wire snaring and antegrade endograft deployment. The antegrade wiring through the ruptured aneurysm and compressed distal segment is sometimes challenging.…”

Successful Endovascular Repair of a Ruptured Popliteal Artery Aneurysm: A Case Report and Literature Review

“…A literature review conducted at the time of submission of this case report showed 62 [2][3][4][5][6][7][8][9][10][11][12][13] reported cases of ruptured PAA. Most cases reported were males, with an age range of 55-96 and a mean age of 81.…”

“…Different treatment modalities were used to treat such cases; however, the majority of the patients were treated with a standard open repair with exclusion of the aneurysm and bypass surgery. Only one case was treated with coil embolization [10], and twelve were treated by endovascular intervention [2-5, 7, 11-13].…”

“…The standard treatment for such ruptures is a surgical exclusion bypass; however, a number of other management options are described in the literature [2][3][4][5][6][7][8][9][10][11][12][13]. Such options include endovascular treatment with coil embolization [10] and/or stent graft. Surgical treatment may have an additional benefit of drainage of haematoma preventing its complications as well as restoring the blood supply to the foot.…”