Document Detail


Hybrid treatment of a symptomatic popliteal pseudoaneurysm due to type-I endoleak after previous endovascular exclusion.
MedLine Citation:
PMID:  18324701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The development of endovascular repair of popliteal aneurysms has provided an alternative, minimally invasive way of treatment. We present a case of a late type-I endoleak, after previous exclusion of a popliteal pseudoaneurysm, leading to rupture and massive hematoma, which was excluded in a hybrid procedure. CASE REPORT: A 95-year-old woman presented with progressive swelling with skin ulceration and necrosis cranial to the medial side of her left knee. Four years earlier, a left popliteal pseudoaneurysm was excluded with a stent-graft. Rupture of the popliteal artery with massive hematoma was demonstrated by ultrasound examination and a spiral computed tomography scan, with high suspicion of a type-I endoleak. Endovascular repair of the endoleak with a polytetrafluoroethylene-covered stent-graft was followed by surgical resection of the damaged skin and evacuation of the hematoma. CONCLUSION: Type-I endoleaks after endovascular exclusion of popliteal pseudoaneurysms do occur and may lead to rupture. A symptomatic pseudoaneurysm may be successfully treated by a hybrid procedure.
Authors:
Heleen D de Koning; Clark J Zeebregts; Michel M P J Reijnen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  71     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-29     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  983-6     Citation Subset:  IM    
Copyright Information:
2008 Wiley-Liss, Inc.
Affiliation:
Department of Surgery (Division of Vascular Surgery), Alysis Zorggroep, Location Rijnstate, Arnhem, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aneurysm, False / pathology,  surgery*
Aneurysm, Ruptured / pathology,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation*
Female
Hematoma / etiology,  pathology,  surgery*
Humans
Necrosis
Popliteal Artery* / pathology
Prosthesis Design
Prosthesis Failure*
Recurrence
Reoperation
Stents*
Tomography, Spiral Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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