Surgical and endovascular treatment of a bilateral 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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Ruptured Deep Femoral Artery Aneurysm Confused with an Incarcerated Inguinal Hernia: a Case of an Elderly Patient

International Journal of Angiology ◽

10.1055/s-0038-1676965 ◽

2019 ◽

Vol 28 (01) ◽

pp. 028-030 ◽

Cited By ~ 1

Author(s):

Takafumi Hamasaki ◽

Rikako Ota ◽

Yuki Matsuoka ◽

Wataru Kodama ◽

Syunsuke Fukino ◽

...

Keyword(s):

Elderly Patient ◽

Inguinal Hernia ◽

Femoral Artery ◽

Artery Aneurysm ◽

Deep Femoral Artery ◽

Incarcerated Inguinal Hernia ◽

Ischemic Change ◽

Enhanced Ct ◽

The Right ◽

Deep Femoral Artery Aneurysm

Deep femoral artery (DFA) aneurysms are rare. DFA is protected by the adductor canal, which may delay the diagnosis. Then, its early diagnosis may be difficult and it is possible to be misdiagnosis with incarcerated inguinal hernia, which occurs more often in elderly people. We report a very rare case of a treatment of an advanced elderly patient with an isolated ruptured DFA aneurysm that was preoperatively confused with an incarcerated inguinal hernia.A 97-year-old man was admitted to a neighboring hospital due to a painful mass of the right groin after transient consciousness loss and the patient was diagnosed with right incarcerated inguinal hernia by a nonenhanced computed tomography (CT). Although he was observed for 3 days, he suddenly lost consciousness again with a decrease in blood pressure. Thus, he was referred to our hospital due to the painful pulsatile inguinal mass after resuscitation from shock. As we diagnosed a ruptured DFA aneurysm by an enhanced CT, we emergently performed an excision of the aneurysm with revascularization of the right DFA. The postoperative course was uneventful without ischemic change of the lower leg.

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A case of deep femoral artery aneurysm found with superficial femoral artery aneurysm

Journal of Rural Medicine ◽

10.2185/jrm.2021-013 ◽

2021 ◽

Vol 16 (4) ◽

pp. 293-297

Author(s):

Naoki Takeno ◽

Yasuyuki Shimada ◽

Yasushi Terada

Keyword(s):

Femoral Artery ◽

Superficial Femoral Artery ◽

Artery Aneurysm ◽

Deep Femoral Artery ◽

Deep Femoral Artery Aneurysm

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Rare Case of Multiple Aneurysms with Rupture of the Deep Femoral Artery Aneurysm

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.07.010 ◽

2015 ◽

Vol 29 (8) ◽

pp. 1663.e5-1663.e8 ◽

Cited By ~ 3

Author(s):

Grgur Dulić ◽

Zrinka Požgain ◽

Krešimir Pinotić ◽

Krunoslav Šego ◽

Robert Selthofer ◽

...

Keyword(s):

Femoral Artery ◽

Rare Case ◽

Artery Aneurysm ◽

Deep Femoral Artery ◽

Multiple Aneurysms ◽

Deep Femoral Artery Aneurysm

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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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Hematoma after Percutaneous Transpopliteal Stenting and Remote Suturing of the Popliteal Artery

Journal of Endovascular Therapy ◽

10.1177/152660280200900525 ◽

2002 ◽

Vol 9 (5) ◽

pp. 703-706 ◽

Cited By ~ 5

Author(s):

Saim Yilmaz ◽

Timur Sindel ◽

Abdullah Erdoğan ◽

Atalay Mete ◽

Ersin Lüleci

Keyword(s):

Case Report ◽

Endovascular Treatment ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Popliteal Artery ◽

Closure Device ◽

Puncture Site ◽

The Right ◽

Percutaneous Suturing

Purpose: To present a case of extensive thigh hematoma that developed after use of a percutaneous suturing device for retrograde popliteal artery puncture. Case Report: A 55-year-old woman underwent endovascular treatment for a short occlusion of the right superficial femoral artery via a retrograde popliteal approach, after which the puncture site was closed with a Closer suture-mediated device. Several hours later, massive hematoma of the right thigh developed, which was noticed only after the patient's leg became markedly swollen and hypotension developed. Conclusions: The use of a suture-mediated closure device for a retrograde popliteal artery puncture may not be recommended.

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