Exclusion of a crural pseudoaneurysm with a PTFE-covered stent-graft.
OBJECTIVE
To describe the successful endovascular treatment of an iatrogenic anterior tibial artery pseudoaneurysm with a polytetrafluoroethylene-covered stent-graft.


METHODS
A 58-year-old man was admitted to our hospital with pseudoarthrosis and malunion of the right distal tibia. Fibulotomy and intramedullary fixation were performed, which was complicated by a pseudoaneurysm of the anterior tibial artery. Under local anesthesia, a 4x31-mm Symbiot covered stent was successfully placed over the origin of the pseudoaneurysm. At 12 months, the pseudoaneurysm remained excluded, and the anterior tibial artery was patent.


CONCLUSIONS
Endovascular treatment of a crural artery pseudoaneurysm seems to be a feasible treatment option. Further experience with this technique is needed to validate its safety and long-term patency.
De Roo
Ronald A
RA
Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands. r.d.roo@rijnland.nl
Steenvoorde
Pascal
P
Schuttevaer
Herman M
HM
Den Outer
Adriaan J
AJ
Oskam
Jacques
J
Joosten
Paul P Hedeman
PP
D017541:Aneurysm, False / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D020099:Coated Materials, Biocompatible; D005594:Fracture Fixation, Intramedullary; D017759:Fractures, Malunited / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D011542:Pseudarthrosis / Q000601:surgery; D012086:Reoperation; D015607:Stents; D016909:Tibial Arteries / Q000293:injuries; D013978:Tibial Fractures / Q000601:surgery
D020099:Coated Materials, Biocompatible; D011138:Polytetrafluoroethylene