Use of a stent graft in tumor erosion of the common femoral artery with life-threatening bleeding.
We report a case of a 56-year-old male patient with a life-threatening left common femoral artery bleeding due to tumor erosion. The patient had a history of advanced high-grade pleomorphic leiomyosarcoma of the left groin with pulmonary metastasis. Clinical examination revealed a massive tumor bulking at the left groin with necrosis and phleb- and lymphedema. Given the circumstances, open surgery was not possible. Thus, it was decided to treat the patient with an endovascular procedure. The postprocedural course was uneventful, the patient received blood product and was hemodynamically stable. He was discharged at day six with ambulatory follow-up. Endovascular therapy using stent grafts to exclude a life-threatening bleeding is a valuable alternative treatment option in oncologic patients with limited life expectancy, which are unsuitable for surgery.
1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau, Switzerland.
Hong H
HH
Keo
1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau, Switzerland.
Nicolas
N
Diehm
2 Division of Angiology, Department of Internal Medicine, University Hospital Basel, Basel, Switzerland.
Daniel
D
Staub
3 Clinic for Angiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Frederic
F
Baumann
D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation*; D017809:Fatal Outcome; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000473:pathology* / Q000556:secondary; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D009361:Neoplasm Invasiveness; D010166:Palliative Care; D015607:Stents; D016896:Treatment Outcome
Bleeding; intervention; stent graft; tumor