Repair of a combined femoral pseudoaneurysm and arteriovenous fistula using a covered stent graft.
Our purpose was to demonstrate clinical efficacy of covered stent use in the peripheral vasculature. A 68-year-old man was transferred from an outlying hospital for evaluation and treatment of a pulsatile mass in his right groin after cardiac catheterization. Imaging with duplex ultrasound and diagnostic arteriogram demonstrated a 6-cm pseudoaneurysm (PSA) of the right superficial femoral artery (SFA) and an arteriovenous fistula (AVF) of the SFA and the profunda vein. Using a covered stent extending from the proximal SFA across the origins of the AVF and PSA, complete exclusion was attained. Follow-up ultrasound at 6 weeks revealed a patent stent, no AVF, and thrombosis of the PSA. Endovascular treatment of peripheral lesions (AVF/PSA) in an elective to semi-elective setting offers patients a safe, less invasive treatment option to consider over traditional open surgery. Consequently, a formidable reduction in incision length, wound infection, and postoperative immobility can be expected.
Kendrick
Aaron S
AS
Department of Surgery, University of Tennessee College of Medicine, Chattanooga, Tennessee 37403, USA.
Sprouse
L Richard
LR
D000368:Aged; D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D020099:Coated Materials, Biocompatible; D005263:Femoral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D015607:Stents; D014463:Ultrasonography
D020099:Coated Materials, Biocompatible