Femoral Artery Branch Pseudoaneurysm Resulting From Muscle Strain Injury

2021 ◽  
pp. 154431672110304
Author(s):  
Besnike Kashtanjeva
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Ultrasound Examination ◽  
Muscle Strain ◽  
Vigorous Exercise ◽  
The Right ◽  
Muscle Strain Injury ◽  
Artery Branch

A 66-year-old male presented with pain and swelling isolated to the right thigh after a bout of vigorous exercise on a step treadmill. We report a muscle strain injury resulting in formation of a pseudoaneurysm arising from a branch of the mid superficial femoral artery. The pseudoaneurysm was incidentally discovered during a venous ultrasound examination. Within 2 weeks of its finding, the pseudoaneurysm had resolved.

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

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.

scholarly journals Sustained drug retention after paclitaxel-coated balloon angioplasty for superficial femoral artery disease: Follow-up intravascular imaging

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090782
Author(s):  
Norihiro Kobayashi ◽  
Keisuke Hirano ◽  
Masahiro Yamawaki ◽  
Motoharu Araki ◽  
Tsuyoshi Sakai ◽  
...  
Keyword(s):  
Frequency Domain ◽  
Femoral Artery ◽  
Balloon Angioplasty ◽  
Superficial Femoral Artery ◽  
Optical Frequency ◽  
Optical Frequency Domain Imaging ◽  
Drug Retention ◽  
Artery Disease ◽  
The Right

A 63 year-old woman with claudication underwent endovascular therapy for diffuse stenosis of the right superficial femoral artery in our hospital. We performed paclitaxel-coated balloon angioplasty using the IN.PACT™ Admiral™ and achieved acceptable results. After 42 days, we performed follow-up optical frequency domain imaging for the right superficial femoral artery lesion treated with paclitaxel-coated balloon and observed several high-intensity regions with attenuation on the lumen surface. Sustained drug availability is a notable characteristic of paclitaxel-coated balloon. To the best of our knowledge, this is the first report on the visualization of sustained drug retention on the lumen surface using follow-up optical frequency domain imaging after paclitaxel-coated balloon angioplasty in a human patient with superficial femoral artery disease.

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

2002 ◽  
Vol 9 (5) ◽  
pp. 703-706 ◽  
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.

scholarly journals Superficial femoral artery stenting via radial access using R2P® Misago® stents: First-in-human report of the new R2P® system

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984734
Author(s):  
Norihiko Shinozaki ◽  
Yuji Ikari
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
External Iliac Artery ◽  
Limb Ischemia ◽  
Below The Knee ◽  
Shaft System ◽  
Rapid Exchange ◽  
Stent System ◽  
The Right ◽  
Guiding Catheter

A 73-year-old male with left critical limb ischemia was scheduled to undergo below-the-knee amputation. Prior to the amputation, he was referred to our institute for endovascular treatment. We inserted the new 7-Fr 150-cm-long guiding catheter, SlenGuide®, into the external iliac artery from the right radial artery with the 7-Fr Glidesheath Slender®. We implanted two R2P® Misago® stents with rapid-exchange, 200-cm-long shaft system in the stenosis of the left superficial femoral artery. This new stent system involves rapid-exchange and a long shaft system; furthermore, it is useful in transradial stenting in the superficial femoral artery.

scholarly journals Pseudoaneurysm of the superficial femoral artery after retrograde intramedullary nailing for a supracondylar femoral fracture

2014 ◽  
Vol 96 (7) ◽  
pp. e1-e3 ◽  
Author(s):  
Ryosuke Hirota ◽  
Makoto Emori ◽  
Toshiro Ito ◽  
Kota Watanabe ◽  
Akira Hirano ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Femoral Fracture ◽  
Surgical Repair ◽  
Vascular Complications ◽  
Femoral Fractures ◽  
Supracondylar Femoral Fracture ◽  
Bony Fragment ◽  
The Right ◽  
Enhanced Computed Tomography

Vascular complications of distal femoral fractures are rare but can have disastrous consequences if not recognised and treated promptly. We present the case of a 55-year-old woman who developed a pseudoaneurysm of the superficial femoral artery after osteosynthesis to repair a supracondylar femoral fracture. Eight weeks after surgery, swelling of the right thigh persisted and was accompanied by severe pain. Enhanced computed tomography revealed a pseudoaneurysm in the medial aspect of the affected thigh. Open surgical repair was performed by direct arterial suture. Although the true aetiology of the development of the pseudoaneurysm is unknown, a bony fragment from the reduction manoeuvre may have damaged the adventitia of the superficial femoral artery. In cases of continuous thigh swelling after osteosynthesis to repair a supracondylar femoral fracture, a diagnosis of pseudoaneurysm should be considered and treatment should be initiated immediately.

scholarly journals Alternative Combined Retrograde–Antegrade Use of a Re-entry Device in the Revascularization of a Surgically Ligated Superficial Femoral Artery Occlusion

2021 ◽  
Vol 5 (01) ◽  
pp. 62-65
Author(s):  
Roberto Gandini ◽  
Armando Raso ◽  
Arezia Di Martino ◽  
Fabio Salimei ◽  
Daniele Morosetti
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Limb Ischemia ◽  
Artery Occlusion ◽  
Covered Stent ◽  
Foot Ulcers ◽  
Surgical Closure ◽  
Femoral Artery Occlusion ◽  
The Right ◽  
Occluded Segment

AbstractWe report a case of a diabetic patient with critical limb ischemia, who previously underwent thromboendarterectomy at the right lower extremity, resulting in surgical ligation at the proximal third of the right superficial femoral artery (SFA). Twenty months later, the patient developed foot ulcers; endovascular treatment was therefore performed. After obtaining a retrograde right SFA subintimal access, directly puncturing the occluded segment of the artery, a re-entry intravascular ultrasound-guided catheter was used to gain proximal re-entry. Then, the same device was used again, in antegrade fashion, to obtain re-entry into the patent popliteal artery. A covered stent was deployed in the site of the surgical closure. In the following 3 months, foot ulcers healed.

scholarly journals A Successful Case of Endovascular Therapy for Severely Calcified Plaque Removed by Biopsy Forceps at the Superficial Femoral Artery

2021 ◽  
Author(s):  
Shojiro Hirano ◽  
Atsushi Funatsu ◽  
Shigeru Nakamura ◽  
Takanori Ikeda
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Chronic Total Occlusion ◽  
Biopsy Forceps ◽  
Deep Femoral Artery ◽  
Total Occlusion ◽  
Stent Expansion ◽  
Successful Case ◽  
Calcified Plaque ◽  
The Right

Abstract BackgroundCurrently, 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 textA 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 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. ConclusionBiopsy 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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