title: Endovascular repair of an acute blunt popliteal artery injury.
abstract: Blunt popliteal arterial injury is uncommon and is usually associated with surrounding soft tissue and orthopedic injuries, which may complicate traditional open operative repair. We present the successful management of a blunt popliteal artery injury through an endovascular approach, where we imaged the lesion, extracted the thrombus, protected against distal embolization, and performed a balloon angioplasty to the intimal lesion. Our approach is the first documented in the literature in which endovascular repair of a blunt popliteal artery injury was performed successfully in an acutely ischemic extremity. Using a filter wire is a novel way to prevent distal embolization during manipulation.
authors.affiliation: Division of Vascular Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio 45267-0558, USA.
authors.forename: John D
authors.initials: JD
authors.lastname: Hutto
authors.forename: Amy B
authors.initials: AB
authors.lastname: Reed
mesh_terms: D000063:Accidents, Traffic; D000208:Acute Disease; D000328:Adult; D000792:Angiography; D017130:Angioplasty / Q000379:methods; D003937:Diagnosis, Differential; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging