scholarly journals Superficial Femoral Artery Pseudoaneurysm Secondary to a Femoral Osteochondroma: A Case Report and Review of the Literature

2020 ◽  
pp. 1-5
Author(s):  
Cosman Camilo Mandujano ◽  
Cosman Camilo Mandujano ◽  
Gustavo Romero-Velez ◽  
Louisiana Rivera Valladares ◽  
Saadat Shariff ◽  
...  
Keyword(s):  
Vascular Injury ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Vascular Complications ◽  
Vascular Injuries ◽  
Review Of The Literature ◽  
Operative Techniques ◽  
Palpable Mass ◽  
Artery Pseudoaneurysm ◽  
End To End

Background: Osteochondromas or Osteocartilaginous Exostosis are cartilage-capped bony growths arising from external bone surfaces. They typically occur at the level of growth plates and account for 30% of benign bone tumors. Vascular complications from osteochondromas are rare with roughly 112 reported cases in the literature dating back as early as 1953. Vascular injuries are location dependent, with popliteal pseudoaneurysms being the most prevalent. The operative techniques to repair these injuries have varied over time and are related to the location, degree of vascular injury, presence of thrombosis or infection and involvement of nearby structures like named veins or nerves. We present a case of a superficial femoral artery (SFA) injury secondary to an osteochondroma and offer a review of the literature evaluating the trends on operative repairs and their association with the degree of vascular injury. Methods: A total of 112 publications were found and independently reviewed. Articles containing age, sex, presentation, size of the aneurysm and surgical technique for repair were included for evaluation. Mean follow up, use of anticoagulation, and whether there was associated trauma was also recorded if reported by the authors. Articles with insufficient reported variables were excluded. A total of 49 publications were selected for evaluation based on these criteria. The review of literature was performed through PubMed, MEDLINE, NCBI using the words "pseudoaneurysm", "superficial femoral artery", "popliteal artery", and "osteochondroma". Results: Young Males were the most prevalent group (79.4%) with a mean age of 21.4 years of age. The most common complaint at presentation was pain and a palpable mass (81%) with no history of trauma (51%). Popliteal aneurysms (85%) were the most common vascular injury while the average size of injury was 5 mm. Operative techniques included arterioplasty (30.6%), end to end anastomosis (20.4%), greater saphenous vein (GSV) patch (20.4%) GSV bypass (8.1%) GSV interposition graft (8.1%) and xenopericardial or polytetrafluoroethylene (PTFE) patch (2%). Smaller arterial injuries (<5 mm) were most commonly managed with arterioplasty or end-to-end anastomosis. Conclusion: Vascular injuries secondary to osteochondromas are rare. High suspicion and prompt diagnosis are necessary to prevent long-term sequelae from neurovascular compromise. Smaller arterial defects appear to be best suitable for primary reconstruction either by arterioplasty or aneurysmectomy with end-to-end anastomosis. Ultimately, the surgical reconstruction needs to be guided in a case-by-case basis.

True Giant Ruptured Superficial Femoral Artery Aneurysm in Nonagenarian Female Patient: A Case Report and Review of the Literature

2019 ◽  
Vol 56 ◽  
pp. 353.e13-353.e17 ◽  
Author(s):  
Edoardo Frola ◽  
Emanuele Ferrero ◽  
Pia Cumbo ◽  
Fabiana Zandrino ◽  
Andrea Gaggiano
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Artery Aneurysm ◽  
Review Of The Literature

scholarly journals Endovascular Management of Spontaneous Superficial Femoral Artery Pseudoaneurysm in a Renal Allograft Patient

2014 ◽  
Vol 3 (1) ◽  
pp. 49
Author(s):  
Young-Bae Lee ◽  
Yun-Hyeong Cho ◽  
Ji-Hyun Lee ◽  
Jae-Hyuk Lee ◽  
Myung-Sung Kim ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Renal Allograft ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm

scholarly journals Perkutaninio šlaunies arterijos kateterizavimo vietinių komplikacijų gydymo taktika

2014 ◽  
Vol 13 (3) ◽  
pp. 177-183
Author(s):  
Ingrida Ašakienė ◽  
Andrius Černauskas ◽  
Nerijus Misonis ◽  
Vaidotas Zabulis ◽  
Robertas Breivis ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Vascular Complications ◽  
Limb Ischemia ◽  
Arterial Disease ◽  
Treated Group ◽  
Suspected Coronary Artery Disease ◽  
Femoral Access ◽  
Artery Pseudoaneurysm ◽  
Access Complications ◽  
Local Vascular Complications

Darbo tikslas Nustatyti po intervencinių kardiologinių procedūrų per šlaunies arteriją susidariusių vietinių komplikacijų dažnį, pažeidimo vietos tipą ir optimalų gydymo metodą. Tyrimo medžiaga ir metodai Atlikta 166 pacientų, 2007–2011 metais patyrusių vietinių komplikacijų po kateterizavimo dėl įtariamos vainikinių arterijų patologijos, ligos istorijų duomenų retrospektyvi analizė. Vietinės kraujagyslių komplikacijos diagnozuotos ir gydytos krau­jagyslių chirurgų. Rezultatai Tiriamąją grupę sudarė 96 (57,8 %) moterys ir 70 (42,2 %) vyrų. Vidutinis pacientų amžius buvo 69,1 metų (±11,4 metai). 63 pacientams (38 %) nustatyta sutrikusi kojų arterinė kraujotaka. Po kateterizavimo, atlikto dėl širdies kraujagyslių sistemos pa­tologijos, šlaunies arterijos pseudoaneurizma išsivystė 162 (97,6%), arterioveninė fistulė – 3 (1,8 %), didelė hematoma – 1 pa­cientui. 111 (66,9 %) pacientų gydyta konservatyviai. Chirurginio gydymo prireikė 55 (33,1 %) pacientams. Operuotos 37 mo­terys (67,3 %) ir 18 vyrų (32,7 %). Vidutinis operuotų pacientų amžius buvo 69,9 (±10) metai. Pseudoaneurizmos pašalinimas ir arterijos plastika venos lopu atlikta 33 (60 %) pacientams, pašalinti krešuliai ir užsiūti arterijos defektai 22 (40 %) pacientams. Išvados Vietinių kraujagyslių komplikacijų po intervencinių kardiologinių procedūrų per šlaunies arteriją įvyko 166 pacientams (0,706 %). Dažniausia komplikacija po šlaunies arterijos kateterizavimo – pseudoaneurizma. Pseudoaneurizmos sėkmingai gydytos konservatyviai 111 pacientų (66,9 %). Punkcijos vietos kraujagyslių komplikacijos buvo dažnesnės ligoniams, ku­riems buvo periferinių arterijų aterosklerozinis pažeidimas (p<0,01). Reikšminiai žodžiai: jatrogeninis šlaunies arterijos pažeidimas, pseudoaneurizma Treatment of local complications that develop after catheterisation through the femoral artery punctureIngrida Ašakienė, Andrius Černauskas, Nerijus Misonis, Vaidotas Zabulis, Robertas Breivis, Sigitas Tvarionavičius, Ramūnas Kvietkauskas ObjectiveTo determine what is the rate, type, and the best treatment of local femoral access complications after interventional cardiol­ogy catheterisation procedures through percutaneous femoral artery puncture.Materials and methodsRetrospective analysis of 166 patient medical records was carried out. All the patients underwent coronarography for the suspected coronary artery disease. All of them from 2007 to 2011 developed local femoral access complications. All complica­tions were diagnosed and treated by vascular surgeons.ResultsThe study group consisted of 96 (57.8%) women and 70 (42.2%) men. The average age of the patients was 69.1 years (±11.4 years). Limb ischemia was determined in 63 patients (38%). After catheterisation due to cardiovascular pathology, femoral artery pseudoaneurysm developed in 162 patients (97.6%), arteriovenous fistula in 3 patients (1.8%), and massive hematoma in 1 patient; 111 patients (66.9%) were treated conservatively and 55 (33.1%) surgically. The surgically treated group consisted of 37 women (67.3%) and 18 men (32.7%). The average age of surgically treated patients was 69.9 (±10) years. Pseudoaneurysm removal and venous patch plasty were performed in 33 patients (60%). The removal of blood clots and direct suture of arterial defects were performed in 22 patients (40%).Conclusions166 patients (0.706%) developed local vascular complications after cardiovascular interventions through the femoral artery. Pseudoaneurysm was the most common complication after femoral artery catheterisation. Conservative treatment was suc­cessful in 111 patients (66.9%). Local vascular complications of the puncture site were more common in patients with a pe­ripheral arterial disease (p < 0.01).Key words: iatrogenic femoral artery damage, pseudoaneurysm

scholarly journals Successful Treatment of a Superficial Femoral Artery Pseudoaneurysm with Balloon Tamponade

2019 ◽  
Vol 35 (3) ◽  
pp. 170-173 ◽  
Author(s):  
Hugo Laparra-Escareno ◽  
Cesar Cuen-Ojeda ◽  
Ramon Garc&#237;a-Alva ◽  
Gabriel Lopez-Pena ◽  
Javier E. Anaya-Ayala ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Artery Pseudoaneurysm ◽  
Balloon Tamponade

scholarly journals Delayed superficial femoral artery pseudoaneurysm following distal femoral shaft fracture: A case report

2011 ◽  
Vol 27 (6) ◽  
pp. 242-246 ◽  
Author(s):  
Sheng-Pin Lo ◽  
Chih-Chiang Hsieh ◽  
Chyun-Yu Yang ◽  
Chii-Jeng Lin ◽  
Chih-Wei Chang ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Artery Pseudoaneurysm

Deep Brachial Artery Pseudoaneurysm Following Arthroscopic Shoulder Debridement

2018 ◽  
Vol 52 (5) ◽  
pp. 378-381
Author(s):  
Andrew E. Yang ◽  
Jamie M. Hall ◽  
Gilford S. Vincent ◽  
Lowell Chambers
Keyword(s):  
Brachial Artery ◽  
Orthopedic Procedures ◽  
Vascular Injuries ◽  
Review Of The Literature ◽  
Artery Pseudoaneurysm ◽  
Pseudoaneurysm Formation ◽  
Arthroscopic Procedures

Vascular injuries resulting from arthroscopic surgeries are rare with a reported incidence of 0.005% of elective orthopedic procedures. We report a case of a 49-year-old male who developed a deep brachial artery pseudoaneurysm following an arthroscopic shoulder debridement and lysis of adhesions. He was successfully embolized with resolution of the pseudoaneurysm within 6 weeks of treatment. A review of the literature demonstrates that pseudoaneurysm formation after arthroscopic procedures is rare and pseudoaneurysms of the deep brachial artery have yet to be reported.

scholarly journals Delayed presentation of superficial femoral artery pseudoaneurysm 45 years following gunshot injury

2020 ◽  
Vol 36 (5) ◽  
pp. 526-529
Author(s):  
Pradeep Ramakrishnan ◽  
Prateek Vaswani ◽  
Milind Padmakar Hote ◽  
Shiv Kumar Choudhary
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Gunshot Injury ◽  
Delayed Presentation ◽  
Artery Pseudoaneurysm

A Synchronous Ipsilateral True Superficial Femoral Artery and Profunda Femoris Artery Aneurysm With Rupture: A Case Report and Review of the Literature

2020 ◽  
Vol 54 (7) ◽  
pp. 650-655
Author(s):  
Ali Ahmet Arıkan ◽  
Fatih Avni Bayraktar ◽  
Emre Selçuk
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Treatment Options ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Profunda Femoris Artery ◽  
Elderly Males ◽  
History Of ◽  
Profunda Femoris

Atherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.

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