Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma

Abstract

Background Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent‐graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered stent‐graft. Case Report A 68‐year‐old man presented with traumatic lower limb injury and shock. Computed tomography angiography revealed left subtrochanteric fracture and hematoma with extravasation. Digital subtraction angiography revealed extravasation from a left SFA branch, and a pseudoaneurysm at the SFA trunk. We coil embolized the SFA branch, and treated the pseudoaneurysm with a covered stent‐graft. Computed tomography carried out 22 days later showed complete pseudoaneurysm exclusion and sufficient stent patency. Conclusion We successfully used a covered stent‐graft to treat SFA injury due to blunt trauma. A covered stent‐graft could be effective for peripheral artery injury.

Endovascular treatment of femoral artery blow-out caused by skin malignancy

“…Dual antiplatelet therapy is recommended after treatment of non-traumatic peripheral arterial occlusion or stenosis with stent graft. However, optimal antiplatelet therapy in patients with active bleeding treated by using stent graft is not clear [13]. In a meta-analysis, it was reported that in all studies it was recommended that patients should use at least one antiplatelet agent, ranging durations from 3 months to lifelong [14].…”