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Common Femoral Artery Anastomotic Pseudoaneurysm: Endovascular Treatment with Hemobahn Stent-Grafts

2000; Elsevier BV; Volume: 11; Issue: 9 Linguagem: Inglês

10.1016/s1051-0443(07)61360-8

1535-7732

Εlias Brountzos, Katerina Malagari, A. Gougoulakis, Stylianos Argentos, Efthymia Alexopoulou, Alexis Kelekis, Alexis Kelekis,

Aortic aneurysm repair treatments

STENT-GRAFTS are gaining widespread acceptance in the endovascular treatment of aneurysms, pseudoaneurysms, and arteriovenous fistulas because of the less invasive nature of their use compared to standard surgical procedures ( 1 Semba CP Sakai T Slonim SM et al. Mycotic aneurysms of the thoracic aorta: repair with the use of endovascular stent-grafts. JVIR. 1998; 9: 33-40 Abstract Full Text PDF Scopus (226) Google Scholar ). Fully supported stent-grafts are used in the treatment of thoracic aortic aneurysms ( 1 Semba CP Sakai T Slonim SM et al. Mycotic aneurysms of the thoracic aorta: repair with the use of endovascular stent-grafts. JVIR. 1998; 9: 33-40 Abstract Full Text PDF Scopus (226) Google Scholar ), abdominal aortic aneurysms ( 2 Blum U Vorshage G Lammer J et al. Endoluminar stent-grafts for infrarenal aortic aneurysms. N Engl J Med. 1997; 336: 13-20 Crossref PubMed Scopus (610) Google Scholar ), iliac artery aneurysms ( 3 Rousseau H Gieskes L Joffre F et al. Rercutaneous treatment of peripheral aneurysms with the Cragg EndoPro System. JVIR. 1996; 7: 35-39 Abstract Full Text PDF Scopus (39) Google Scholar , 4 Cardon JM Cardon A Joyeux A Vidal V Noblet D Endovascular repair of iliac artery aneurysm with Endoprosystem I: a multicentric French study. J Cardiovasc Surg. 1996; 37: 45-50 PubMed Google Scholar , 5 Gasparini D Lovaria A Saccheri S et al. Percutaneous treatment of iliac aneurysms and pseudoaneurysms with the Cragg Endopro System 1 stentgrafts. Cardiovasc Intervent Radiol. 1997; 20: 348-352 Crossref PubMed Scopus (22) Google Scholar , 6 Ruebben A Tettoni S Muratore P Rossato D Savio D Rabia C Percutaneous endoluminal bypass of iliac aneurysms with a covered stent. Cardiovasc Intervent Radiol. 1998; 21: 339-342 Crossref PubMed Scopus (13) Google Scholar ), superficial femoral artery (SFA) and popliteal artery pseudoaneurysms ( 7 Marcade JP Stent graft for popliteal aneurysms: six cases with Cragg Endo- Pro System 1 Mintec. J Cardiovasc Surg. 1996; 37: 41-44 PubMed Google Scholar , 8 Mueller-Huelsbeck S Link J Schwarzenberg H Walluscheck KP Heller M Percutaneous endoluminal stent and stent-graft placement for the treatment of femoropopliteal aneurysms: early experience. Cardiovasc Intervent Radiol. 1999; 22: 96-102 Crossref PubMed Scopus (37) Google Scholar , 9 Dorffner R Winkelbauer F Kettenbach J Staudacher M Lammer J Successful exclusion of a large femoropopliteal aneurysm with a covered nitinol stent. Cardiovasc Intervent Radiol. 1996; 19: 117-119 Crossref PubMed Scopus (25) Google Scholar , 10 Buerger T Meyer F Tautenhahn J Halloul Z Fahlke J Initial experiences with percutaneous endovascular repair of popliteal artery lesions using a new PTFE stent-graft. J Endovascular Surgery. 1998; 5: 365-372 Crossref PubMed Scopus (62) Google Scholar ), and subclavian artery aneurysms and fistulas ( 11 Szeimies U Kueffer G Stoeckelhuber B Steckmeier B Successful exclusion of subclavian aneurysms with covered nitinol stents. Cardiovasc Intervent Radiol. 1998; 21: 246-249 Crossref PubMed Scopus (27) Google Scholar ). Vascular lesions near mobile skeletal joints (ie, hip joint), although potentially treatable with fully supported stents or stent-grafts, are still managed with surgery ( 12 Criado E Marston WA Ligush J Mauro MA Keagy BA Endovascular repair of peripheral aneurysms, pseudoaneurysms, and arteriovenous fistulas. Ann Vasc Surg. 1997; 11: 256-263 Abstract Full Text PDF PubMed Scopus (144) Google Scholar ) because of the perceived risk of stent failure or vascular injury caused by motion. To our knowledge, there have been no reports of a fully supported stent-graft placement across the hip joint for the treatment of aneurysmal lesions in humans. We describe our experience of endovascular management of a patient presenting with a common femoral artery (CFA) anastomotic pseudoaneurysm, treated with placement of fully supported stentgrafts. This patient also had a common iliac artery anastomotic pseudoaneurysm that was likewise treated with placement of fully supported stent-grafts.