A rare case of multiple aneurysms in ilio-femoro-popliteal segment with rupture of deep femoral artery

Abstract Introduction Traumatic pseudoaneurysms of deep femoral artery (DFA) are usually seen secondary to sports injuries, postendovascular procedures, trauma to thigh, or after orthopaedic interventions for femur fractures. They usually present as either a pulsatile mass or even as thigh compartment syndrome if not diagnosed early. Case Report We present a case of a 65-year-old male who was referred for thigh swelling with severe anemia. On angiographic evaluation, patient was diagnosed to have pseudoaneurysm of DFA branch with hematoma in the thigh. Patient underwent an emergency surgery in view of hemodyanamic instability and ligation of ruptured DFA branch pseudoaneurysm. Conclusion Pseudoaneurysms of the DFA are rare entity and can be asymptomatic or may present with active bleeding in the compartment on rupture. Both surgical and endovascular treatments are available options and mainly depend on the hemodyanamic condition of the patient.

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Surgical and endovascular treatment of a bilateral deep femoral artery aneurysm

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivaa031 ◽

2020 ◽

Vol 30 (6) ◽

pp. 945-946 ◽

Cited By ~ 1

Author(s):

Satoshi Okugi ◽

Kazumasa Watanabe ◽

Yoshifumi Kunii ◽

Masaaki Koide

Keyword(s):

Endovascular Treatment ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Rare Case ◽

Artery Aneurysm ◽

Deep Femoral Artery ◽

Stent Grafts ◽

Postoperative Course ◽

The Right ◽

Deep Femoral Artery Aneurysm

Abstract We report the rare case of a 68-year-old man with a bilateral deep femoral artery aneurysm. Right-sided rupture was treated via plug embolization of the right deep femoral artery and ligation. In the following year, Viabahn® stent grafts were placed in the left superficial femoral artery to relieve occlusion and in the left deep femoral artery to treat the left aneurysm. The postoperative course of the patient was uneventful.

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Spontaneous Deep Femoral Artery False Aneurysm Simulating a Neoplasm: A Rare Case and Literature Review

Annals of Vascular Surgery ◽

10.1016/j.avsg.2018.01.091 ◽

2018 ◽

Vol 50 ◽

pp. 299.e15-299.e19

Author(s):

Raffaele Grande ◽

Paolo Ossola ◽

Ciro Ferrer ◽

Luigi Venturini ◽

Marco Bononi ◽

...

Keyword(s):

Literature Review ◽

Femoral Artery ◽

Rare Case ◽

False Aneurysm ◽

Deep Femoral Artery

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Surgery of the Deep Femoral Artery

10.1007/978-3-642-79045-4 ◽

1994 ◽

Author(s):

Marco P. Merlini ◽

R. J. A. M. van Dongen ◽

Michael Dusmet

Keyword(s):

Femoral Artery ◽

Deep Femoral Artery

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Does Deep Femoral Artery Revascularization as an Isolated Procedure Play a Role in Chronic Critical Limb Ischemia?

Journal of Endovascular Therapy ◽

10.1583/03-1060.1 ◽

2004 ◽

Vol 11 (2) ◽

pp. 119-124 ◽

Cited By ~ 31

Author(s):

Nicolas Diehm ◽

Hannu Savolainen ◽

Felix Mahler ◽

Jürg Schmidli ◽

Do-Dai Do ◽

...

Keyword(s):

Femoral Artery ◽

Critical Limb Ischemia ◽

Limb Ischemia ◽

Deep Femoral Artery ◽

Chronic Critical Limb Ischemia

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Syndactylization as a technique in treatment of infectious limb following aortobifemoral reconstruction

Vascular ◽

10.1177/1708538112473971 ◽

2013 ◽

Vol 21 (3) ◽

pp. 157-158 ◽

Cited By ~ 1

Author(s):

Nikola S Ilic ◽

Marko Dragas ◽

Igor Koncar ◽

Dusan Kostic ◽

Sinisa Pejkic ◽

...

Keyword(s):

Vascular Surgery ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Deep Femoral Artery ◽

Vascular Surgeon

The infection in vascular surgery is a nightmare of every vascular surgeon. There are numerous ways of treatment but neither one is definitive. We present the case of the patient with infectious limb following aortobifemoral reconstruction treated by partial graft extirpation and with re-implantation of the superficial femoral artery into deep femoral artery.

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Endovascular therapy for severely calcified plaque at the superficial femoral artery using myocardial biopsy forceps

CVIR Endovascular ◽

10.1186/s42155-021-00257-z ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Shojiro Hirano ◽

Atsushi Funatsu ◽

Shigeru Nakamura ◽

Takanori Ikeda

Keyword(s):

Femoral Artery ◽

Superficial Femoral Artery ◽

Calcium Score ◽

Biopsy Forceps ◽

Myocardial Biopsy ◽

Deep Femoral Artery ◽

Total Occlusion ◽

Stent Expansion ◽

Calcified Plaque ◽

The Right

Abstract Background Currently, the success rate of EVT for treating CTO of the SFA is high; however, EVT is still found to be insufficient in treating CTOs with severely calcified lesions. Even if the guidewire crosses the lesion, the calcifications may still cause difficulties during stent expansion. Main text A 78-year-old male had been reported to have intermittent claudication with chronic total occlusion (CTO) of the right superficial femoral artery (SFA). Angiography revealed severely calcified plaque (Angiographic calcium score: Group4a [1]) at the ostium of the SFA. Stenting posed a risk of underexpansion, causing the plaque to shift to the deep femoral artery. we decided to remove the calcified plaque using biopsy forceps. After removing the extended calcified plaque, the guidewire could cross easily, and the self-expandable stent was well dilated without causing the plaque to shift to the DFA. Conclusions Biopsy forceps may be used in some endovascular cases to remove severely calcified lesions. To ensure the safety of the patient, the physician must be adept at performing this technique before attempting it.

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Deep Femoral Artery Branch

10.32388/mirq67 ◽

2020 ◽

Author(s):

Keyword(s):

Femoral Artery ◽

Deep Femoral Artery ◽

Artery Branch

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Retrograde Cement Extrusion into Femoral Nutrient Vessels Following Uncomplicated Total Hip Arthroplasty

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i1.1176 ◽

2017 ◽

Vol 16 (1) ◽

Author(s):

Lim Chia Hua ◽

V.A. Jacob ◽

N. Premchandran

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Femoral Artery ◽

Femoral Stem ◽

Deep Femoral Artery ◽

Neck Of Femur ◽

Term Survival ◽

Stem Size ◽

Total Hip ◽

Femoral Cortex

The present concepts in Total Hip Arthroplasty advocate mechanical cement interlock with trabecular bone utilising the third-generation cementing technique. However, the force generated can easily reach peak pressure of 122 kPa to 1500 kPa, leading to extrusion of cement through nutrient foramina into femoral cortex into nutrient vessels, henceforth the retrograde arteriovenogram. A 76 years old lady who premorbid ADLindependent had a fall and sustained a closed right neck of femur fracture. She underwent cemented right total hip arthroplasty. Acetabulum cup of 47mm and femoral stem size 1 was utilized. Femoral canal was prepared and medullary cavity plug inserted before retrograde cement was introduced using the cementing gun. Intraoperative no complications were noted. This case has been followed up to a year with no adverse effect. The post-operative radiograph demonstrated a linear radio-opacity communicating with the posterior aspect of the femoral shaft which continues proximally and medially for approximately 10cm. Its uniformity in shape and position corresponds to the vascular supply of proximal femur. In Farouk et al cadaveric study, nutrient vessel arises in 166 ± 10 mm from the greater trochanter and is a branch of the second perforating artery from the deep femoral artery. Knight et al infer that retrograde cement extrusion occurs in female patients with small stature and small endosteal canal. Cement extrusion unlikely will influence the long haul survival of prosthesis as shown in the radiograph that cement is well pressurized to interlock with the endosteal bone. Moreover, because of extensive anastomoses of perforating branches of the deep femoral artery, segmental obliteration of nutrient artery alone is unlikely to lead to vascularity issues. Cement extrusion into the nutrient foramen is a vital differential in presence of posterior medial cement in the diaphysis of the femur following total hip replacement. This is to differentiate from extra osseous extrusions due to the iatrogenic breach of the femoral cortex suggesting periprosthetic fracture which affects the long term survival of prosthesis.

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