scholarly journals Stent graft exclusion of a mycotic profunda femoris artery pseudoaneurysm with 2-year follow-up

2019 ◽  
Vol 12 (6) ◽  
pp. e229087
Author(s):  
Ahmed Aboubakr-Esedik Bakr ◽  
James Harding ◽  
Asif Mahmood ◽  
Devaraj Srinivasamurthy
Keyword(s):  
Stent Graft ◽  
Graft Infection ◽  
Covered Stent ◽  
Long Term Results ◽  
Bacterial Invasion ◽  
Artery Pseudoaneurysm ◽  
Profunda Femoris Artery ◽  
Arterial Aneurysms ◽  
Profunda Femoris

Mycotic pseudoaneurysms develop at sites of intimal disruption where bacterial invasion occurs. The conventional treatment involves arterial ligation, excision and debridement, followed by a bypass procedure at a later point. Recently, covered stent grafts have been used to treat mycotic arterial aneurysms either as temporary or definitive procedures. However, this is associated with a risk of stent graft infection, recurrence and rupture. There is a paucity of long-term results on the durability of such endovascular stent graft procedures in mycotic arterial pseudoaneurysms. We describe a successful endovascular covered stent repair of a mycotic profunda femoris artery pseudoaneurysm and follow-up of this repair at 2 years.

scholarly journals Endovascular Repair of a Large Profunda Femoris Artery Pseudoaneurysm

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Ahsan Syed Khalid ◽  
Omar M. Ghanem ◽  
Seyed Mojtaba Gashti
Keyword(s):  
Endovascular Repair ◽  
Treatment Method ◽  
Artery Pseudoaneurysm ◽  
Profunda Femoris Artery ◽  
Risk Of Rupture ◽  
Suitable Treatment ◽  
Peripheral Arterial ◽  
Angioplasty And Stenting ◽  
Arterial Aneurysms ◽  
Profunda Femoris

Profunda femoris artery aneurysms and pseudoaneurysms are a rare cause of peripheral arterial aneurysms but their risk of rupture is quite high. We have presented a case of a left lower leg pseudoaneurysm. We have shown that endovascular repair with angioplasty and stenting is a suitable treatment method for such a pseudoaneurysm. Due to the limited data on this disease, we suggest multi-institute collaboration to identify and standardize management for the treatment.

scholarly journals Hybrid Management of an Ulnar Artery Pseudoaneurysm Postphlebotomy

2019 ◽  
Vol 03 (03) ◽  
pp. 185-188
Author(s):  
Heather K. Moriarty ◽  
Peter Charalabidis ◽  
Korana Musicki ◽  
Tuan Phan ◽  
Tim Joseph ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Graft ◽  
Successful Treatment ◽  
Ulnar Artery ◽  
Covered Stent ◽  
Artery Pseudoaneurysm ◽  
Serial Imaging ◽  
Interosseous Artery ◽  
Hybrid Management

AbstractThe purpose of this case report is to describe the occurrence and management of an ulnar artery pseudoaneurysm post phlebotomy. A 36-year-old worker with progressively painful nondominant forearm swelling was referred at 4 weeks postphlebotomy. Serial imaging showed an expanding proximal ulnar pseudoaneurysm. This was managed with a covered stent in the ulnar artery and coiling of the interosseous artery. The hematoma was evacuated, and the neurovascular bundle was protected with muscle coverage. At follow-up, the stent was patent, and there was no distal ischemia. Pseudoaneurysms post phlebotomy are rare. We demonstrate successful treatment of an ulnar artery pseudoaneurysm with stent graft and coiling of the interosseous branch.

The Evaluation of Aortic Diameter Changes During Long-Term Follow-Up After Endovascular Treatment of Acute Blunt Traumatic Thoracic Aortic Injuries

2018 ◽  
Vol 52 (5) ◽  
pp. 335-343 ◽  
Author(s):  
Federico Fontana ◽  
Edoardo Macchi ◽  
Filippo Piacentino ◽  
Larissa Nocchi Cardim ◽  
Giuseppe De Marchi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Mean Value ◽  
Aortic Diameter ◽  
Long Term Results ◽  
Technical Success ◽  
Long Term Follow Up ◽  
Aortic Injuries

Purpose: To evaluate the variations in aortic diameters and long-term results in patients who underwent thoracic endovascular aortic repair (TEVAR) for acute blunt traumatic thoracic aortic injuries (BTTAIs). Materials and Methods: We retrospectively evaluated 23 patients with a mean age of 39 years (range: 17-74 years) who underwent TEVAR for BTTAI between October 2000 and November 2014. All of the patients underwent computed tomography angiography (CTA) before hospital discharge as a baseline imaging for the subsequent follow-up examinations. The technical success, overall survival, and complications were evaluated. Furthermore, the aortic diameters outside of the stent-graft (1 cm proximal and 1 cm distal to the stent-graft) and the aortic diameters within the stent-graft (2 cm distal to the proximal end and 2 cm proximal to the distal end) were assessed. The diameters at baseline on CTA were compared with those of the latest available follow-up examination. Results: Technical success was 100% with a mean follow-up of 65.4 months (range: 12-171 months). No death was registered, and 2 (8.7%) of 23 endograft-related complications (1 stent-graft distal infolding and 1 endoleak 2 and 4 months after the procedure, respectively) were observed. An increase in aortic diameter either proximal or distal to the stent-graft (mean value 0.7 and 0.5 mm, respectively) or within the stent-graft (mean value of 0.5 mm for both proximal and distal diameters) was registered (mean follow-up at 65.4 months, range: 12-171 months). Conclusion: Aortic dilatation following TEVAR for BTTAI is minimal during long-term follow-up. Endovascular treatment represents a durable and safe option in acute BTTAIs.

scholarly journals Coronaric Stent-Graft Deployment in the Treatment of Carotid Blowout

2011 ◽  
Vol 17 (4) ◽  
pp. 490-494 ◽  
Author(s):  
E. Pampana ◽  
R. Gandini ◽  
M. Stefanini ◽  
S. Fabiano ◽  
A. Chiaravalloti ◽  
...  
Keyword(s):  
Stent Graft ◽  
Clinical Results ◽  
Covered Stent ◽  
Endovascular Stent Graft ◽  
Carotid Blowout Syndrome ◽  
Rescue Treatment ◽  
Long Term Follow Up ◽  
Life Threatening

“Carotid blowout syndrome” is defined as a hemorrhage caused by rupture of the carotid artery and its branches, and may be a severe complication of rhinopharyngeal carcinoma. This study aimed to highlight the usefulness and versatility of endovascular stent-graft placement as a rescue treatment in life-threatening carotid blowout syndrome. We describe the unconventional use of a 6×5 mm balloon-expandable coronaric covered stent in a patient with a diagnosis of spinocellular rhinopharyngeal carcinoma, followed by carotid blowout syndrome. Although long-term follow-up is needed to assess the eventuality of bleeding recurrence, the immediate clinical results were satisfactory.

scholarly journals Endovascular Stent Graft Management of a Ruptured Profunda Femoris Artery Aneurysm

EJVES Extra ◽  
2010 ◽  
Vol 19 (4) ◽  
pp. e38-e40 ◽  
Author(s):  
S. Saha ◽  
V. Trompetas ◽  
B. Al-Robaie ◽  
H. Anderson
Keyword(s):  
Stent Graft ◽  
Artery Aneurysm ◽  
Endovascular Stent ◽  
Endovascular Stent Graft ◽  
Profunda Femoris Artery ◽  
Profunda Femoris

Femoropopliteal Arteries: Immediate and Long-term Results with a Dacron-covered Stent-Graft

Radiology ◽  
2002 ◽  
Vol 223 (2) ◽  
pp. 345-350 ◽  
Author(s):  
Ramazanali Ahmadi ◽  
Martin Schillinger ◽  
Thomas Maca ◽  
Erich Minar
Keyword(s):  
Stent Graft ◽  
Covered Stent ◽  
Long Term Results ◽  
Covered Stent Graft

Elective and Emergent Endovascular Treatment of Subclavian Artery Aneurysms and Injuries

2003 ◽  
Vol 10 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Maria Schoder ◽  
Manfred Cejna ◽  
Thomas Hölzenbein ◽  
Georg Bischof ◽  
Fritz Lomoschitz ◽  
...  
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Artery Aneurysm ◽  
Graft Patency ◽  
Long Term Results ◽  
Stent Grafts ◽  
Central Venous ◽  
Luminal Narrowing

Purpose: To demonstrate our short and long-term results after transbrachial treatment of subclavian artery aneurysms and injuries with stent-grafts in elective and emergency settings. Methods: Ten of 12 consecutive patients (6 men; mean age 63.8 years, range 38–80) were treated electively with commercially prepared endografts delivered via a transbrachial access to repair a subclavian artery aneurysm (n = 3) or an injury from a misplaced central venous catheter (n = 7). Two patients required emergency treatment for a ruptured atherosclerotic aneurysm in one and an unintentional arterial puncture during placement of a central venous access in the other. Stent-graft patency during follow-up was assessed by physical examination with comparison of brachial blood pressures in all patients; computed tomography angiography (CTA) was performed in available patients. Results: Successful deployment of stent-grafts with sealing of the lesion was achieved in all cases. There were 2 (17%) procedural complications. One patient developed an access-site hematoma that required surgical revision. The second patient, who had a right subclavian injury, suffered an embolic cerebral infarction. The primary stent-graft patency during follow-up (mean 11.6 months) was 100%. CTA examinations in 7 patients at a mean 18 months showed strut dislocation at the thoracic outlet without luminal narrowing in 1 patient. A 50% intraluminal narrowing due to compression between the clavicle and the first rib occurred in another patient. Six patients with a mean follow-up of 23 months (range 0.3–4.5 years) are still alive with patent stent-grafts. Conclusions: Endovascular stent-graft treatment of subclavian artery aneurysms and injuries is a less invasive alternative to surgical repair. Long-term results must still be confirmed in further studies.

Profunda Femoris Artery Pseudoaneurysm Complicating Compartment Syndrome after Blunt Trauma

2011 ◽  
Vol 39 (8) ◽  
pp. 1786-1789 ◽  
Author(s):  
Peter Smithson Young ◽  
Rory George Middleton Mrcs ◽  
Andrew David Shaw
Keyword(s):  
Compartment Syndrome ◽  
Blunt Trauma ◽  
Artery Pseudoaneurysm ◽  
Profunda Femoris Artery ◽  
Profunda Femoris

scholarly journals Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm

2016 ◽  
Vol 07 (S 01) ◽  
pp. S103-S105
Author(s):  
Dale Ding ◽  
Robert M. Starke ◽  
Maurice Moriarty ◽  
Stefan Brew
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Stent Graft ◽  
Covered Stent ◽  
Parent Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Luminal Narrowing ◽  
Proximal Internal Carotid Artery ◽  
Covered Stent Graft

ABSTRACTLarge pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA). The patient underwent endovascular intervention, during which a balloon-expandable covered stent was deployed within a heparin-bonded covered stent, such that the overall construct spanned from the CCA to the lower cervical ICA. The employment of a telescoping dual covered stent technique can successfully treat appropriately selected patients with large or giant ECCA pseudoaneurysms, with the concomitant goals of excluding the pseudoaneurysm and restoring the luminal caliber of the parent artery.

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