Treatment of Femoral Pseudoaneurysms with Endograft in High-risk Patients

Abstract

Endovascular exclusion of femoral pseudoaneurysms is feasible and reliable. Long-term follow-up will demonstrate if this approach in selected patients is justified.

Spontaneous Pseudo-Aneurysm of the Deep Femoral Artery Treated by a Covered Stent

“…Therefore, we chose to insert a covered stent using a percutaneous technique. The technique is already described for post-anastomotic pseudo-aneurysms at the level of the common femoral artery and a series of patients was only recently presented by DEROM et al (8) but never for spontaneous pseudo-aneurysms at the level of the deep femoral artery. Instead of using a self-expandable stentgraft or endograft, a balloon-expandable covered Jo-stent was selected because of severely calcified vessels, and for precise placement in order to prevent overstenting of the origin of the superficial femoral artery.…”

Emergency Balloon Sealing of a Ruptured Giant Anastomotic Aneurysm of the Groin

“…Interposition grafting is the preferred surgical approach since simple repair has a higher recurrence rate (1,2). Currently, endovascular exclusion is reserved for high-risk patients when feasible (3)(4)(5).…”

Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

“…Most injuries are sub-clinical and radiological imaging is used to confirm the suspicion using duplex ultrasonography, computed tomography angiography (CTA), or angiography during the procedure. Depending on the anatomical characteristics and hemodynamic status of the patient, either an open or endovascular approach should be performed 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. This case reports a femoral fracture with delayed presentation of a deep femoral artery pseudoaneurysm (DFA-PSA) that was, at first confused with hematoma and initially presented with bleeding after orthopedic surgery.…”

“…This case reports a femoral fracture with delayed presentation of a deep femoral artery pseudoaneurysm (DFA-PSA) that was, at first confused with hematoma and initially presented with bleeding after orthopedic surgery. It was managed successfully with an endovascular stent graft after diagnosis 3, 4, 10…”