Popliteal Artery Pseudoaneurysm Caused by Osteochondroma

Sakata, Tomoki; Mogi, Kenji; Sakurai, Makoto; Nomura, Anan; Fujii, Masahiko; Takahara, Yoshiharu

doi:10.1016/j.avsg.2017.04.003

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…The recovery from varicose vein surgery is also very slow and painful. The stripping and ligation of great saphenous vein can also cause problems in doing extensive exercise [ 59 ]. The blood should pass through the same veins as it was flowing before ligation.…”

Section: Resultsmentioning

confidence: 99%

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Simulation, Fabrication and Analysis of Silver Based Ascending Sinusoidal Microchannel (ASMC) for Implant of Varicose Veins

et al. 2017

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Bioengineered veins can benefit humans needing bypass surgery, dialysis, and now, in the treatment of varicose veins. The implant of this vein in varicose veins has significant advantages over the conventional treatment methods. Deep vein thrombosis (DVT), vein patch repair, pulmonary embolus, and tissue-damaging problems can be solved with this implant. Here, the authors have proposed biomedical microdevices as an alternative for varicose veins. MATLAB and ANSYS Fluent have been used for simulations of blood flow for bioengineered veins. The silver based microchannel has been fabricated by using a micromachining process. The dimensions of the silver substrates are 51 mm, 25 mm, and 1.1 mm, in length, width, and depth respectively. The dimensions of microchannels grooved in the substrates are 0.9 mm in width and depth. The boundary conditions for pressure and velocity were considered, from 1.0 kPa to 1.50 kPa, and 0.02 m/s to 0.07 m/s, respectively. These are the actual values of pressure and velocity in varicose veins. The flow rate of 5.843 (0.1 nL/s) and velocity of 5.843 cm/s were determined at Reynolds number 164.88 in experimental testing. The graphs and results from simulations and experiments are in close agreement. These microchannels can be inserted into varicose veins as a replacement to maintain the excellent blood flow in human legs.

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Section: Resultsmentioning

confidence: 99%

“…Therefore, it is not considered a successful treatment. The costly laser treatment is also used for stripping veins [ 54 , 55 , 56 , 57 , 58 , 59 ]. In sclerotherapy, the chemical sclerosant is inserted into a vein for its complete elimination.…”

Section: Introductionmentioning

confidence: 99%

Simulation, Fabrication and Analysis of Silver Based Ascending Sinusoidal Microchannel (ASMC) for Implant of Varicose Veins

et al. 2017

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“…Sakata et al reported a pseudoaneurysm of the popliteal artery in a 16-year-old boy that underwent emergency surgery. Authors concluded that all vascular surgeons should know this complication and perform early surgical intervention due to the risk of occlusion of peripheral branches, deep venous thrombosis and peripheral nerve disorders [60]. Shah at al.…”

Section: Discussionmentioning

confidence: 99%

Vascular Complications Caused by Tibial Osteochondroma: Focus on the Literature and Presentation of a Popliteal Artery Thrombosis with Acute Lower Limb Ischemia

Angelini

Ruggieri

2022

Diagnostics

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Osteochondromas are common benign bone tumors, frequently found in adolescents or young adults. Most often asymptomatic and discovered by accidental findings, they may be diagnosed because of compression or dislocation. Vascular complications are an atypical presentation of osteochondromas, and include vessel perforation and thrombosis, arterial thromboembolic events and pseudoaneurysm formation. Popliteal artery thrombosis and acute lower limb ischemia caused by a tibial osteochondroma are rarely observed. Starting from a case of temporary lower extremity ischaemia caused by thrombosis of the subarticular popliteal artery due to an osteochondroma of the proximal tibial protruding in popliteal fossa, we focused a literature analysis on diagnostic and management aspects. A combined vascular-orthopedic approach was performed with intra-arterial locoregional thrombolytic therapy and then a surgical tangential resection of the tibial osteochondroma. The adequate approach for these patients includes clinical evaluation, plain radiographs, CT scan and MRI. The purpose of the present review article is to underline the importance of a combined vascular-orthopedic approach to correct diagnosis and prompt surgical management of vascular complications caused by tibial osteochondromas.

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“…In addition, in our 5-year-old patient, the left distal femur osteochondroma was interfering with the growth and with the alignment of the left lower limb so it was necessary to perform the exostosis excision and the emi-epiphysiodesis. Moreover, the benign tumour was close to the femoral artery and by removing it our proposal was to avoid the risk of future vessels compression and potential secondary pseudo-aneurysm due to growth of the exostosis [16,17]. Temporary emi-epiphysiodesis is a wellknown surgical procedure able to correct valgus knee in skeletally immature patients and in particular it isn't the main topic of our case presentation.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Video Assisted Thoracoscopic Costal and Femoral Osteochondromas Resection in a Child with Multiple Exostoses Disease: A Case Report and Literature Review

Gigante¹,

Maso²,

Baldin³

et al. 2019

BJSTR

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The case reported concerns a 5-years-old child affected by Hereditary Multiple Exostoses (HME), a genetic disorder with autosomal dominant inheritance, that cause multiple skeletal exostosis. Usually those masses are asymptomatic, but in some cases, they can cause a huge spectrum of problems due to their size and site localization interfering with surrounding structures such as nerves, vessels, or organs. In order to reduce patient distress and hospital stay we resected in the same surgical session, an exostosis on the left knee (that was interfering with the correct bone growth) and, with video-assisted-thoracoscopy (VATS), three rib exostosis (one of them misdiagnosed at the MRI examination).. Temporary femoral hemiepiphysiodesis was performed too in order to correct the knee valgus malalignment. In case of exostosis localized at the internal side of the ribs, the collaboration of a skilled pediatric surgeon is recommended to perform VATS resection. common in the setting of multiple hereditary osteochondromato-

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Popliteal Artery Pseudoaneurysm Caused by Osteochondroma

Cited by 7 publications

References 11 publications

Simulation, Fabrication and Analysis of Silver Based Ascending Sinusoidal Microchannel (ASMC) for Implant of Varicose Veins

Simulation, Fabrication and Analysis of Silver Based Ascending Sinusoidal Microchannel (ASMC) for Implant of Varicose Veins

Vascular Complications Caused by Tibial Osteochondroma: Focus on the Literature and Presentation of a Popliteal Artery Thrombosis with Acute Lower Limb Ischemia

Simultaneous Video Assisted Thoracoscopic Costal and Femoral Osteochondromas Resection in a Child with Multiple Exostoses Disease: A Case Report and Literature Review

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