Treatment of a symptomatic popliteal pseudoaneurysm using a stent-graft and ultrasound-guided evacuation of the haematoma.
The development of endovascular repair of true popliteal aneurysms has provided an alternative, minimal invasive way of treatment. We present a case of successful emergency endovascular repair of a symptomatic popliteal pseudoaneurysm and percutaneous drainage of the haematoma. An 80-year-old patient with cardiac co-morbidity presented with a symptomatic pseudoaneurysm of the popliteal artery, following a mild blunt trauma. We excluded the aneurysm with a stent-graft. This was followed by ultrasound-guided needle aspiration of the haematoma, leading to an immediate relief of pain, and resolved the pressure on the skin. Patient recovered well, and the follow-up was uneventful. Endovascular repair of a symptomatic popliteal pseudoaneurysm is feasible. Additional ultrasound-guided drainage of the haematoma may relieve pain and prevent skin necrosis.
Reijnen
Michel M P J
MM
Department of Surgery, Division of Vascular Surgery, Alysis Zorggroep, Locatie Rijnstate, Wagnerlaan 55, 6815 AD, Arnhem, The Netherlands. mmpj.reijnen@gmail.com
de Rhoter
Willem
W
Zeebregts
Clark J
CJ
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage / Q000379:methods; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011150:Popliteal Artery; D015607:Stents; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications