True Isolated Deep Femoral Artery Aneurysm Treated with Endovascular Technique: Case Report and Literature Review

Abstract

In this paper, we aimed to report an alternative endovascular treatment in a patient with an isolated deep femoral artery aneurysm. A 49-year-old male patient, with no comorbidities, was admitted with right limb pain, mainly in the thigh, associated with a weakness and difficulty walking. The patient was submitted to a duplex ultrasound, that suggested a deep femoral artery aneurysm, with 6 cm diameter, confirmed with CT angiogram. The patient was scheduled to undergo endovascular treatment of the deep femoral artery aneurysm with a covered self-expandable 9x100 Solaris and embolization of the first branch of the Deep femoral artery with Azur coils 2 4x5, 6x10, 6x15 and 6x20. The patient was discharged from the hospital two days after the surgery with no complications, palpable pedal pulses on Aspirin 100mg and Clopidogrel 75mg. At year follow-up the patient was asymptomatic and duplex showed patent stent without evidence of endoleak.