Endovascular occlusion of a ruptured popliteal artery aneurysm.
Popliteal artery aneurysms are the most common of the peripheral aneurysms. Rupture is a rare complication of these aneurysms. Here we present a case of a ruptured popliteal aneurysm in a patient with severe joint disease and immobility due to rheumatoid arthritis. The condition was treated endovascularly with an Amplatzer arterial occlusion device. The aneurysm was successfully thrombosed without inducing critical limb ischemia, as the distal popliteal was chronically occluded. Ligation of peripheral aneurysms is an infrequent treatment without simultaneous bypass graft placement. Endovascular occlusion of ruptured popliteal aneurysms should be considered a valid therapeutic strategy where exclusion bypass is not required due to distal arterial occlusion.
Smith
R J Paul
RJ
Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, UK.
Gajendragadkar
Parag R
PR
Winterbottom
Andrew P
AP
Cooper
David G
DG
Hayes
Paul D
PD
Boyle
Jonathan R
JR
D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000150:complications; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome