Document Detail


Pseudoaneurysm of anterior tibial artery after occlusion from blunt trauma: nonoperative management.
MedLine Citation:
PMID:  4009772     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The angiographic finding of occluded isolated tibial artery after blunt trauma to the leg generally is ignored. A case of pseudoaneurysm and arteriovenous fistula that evolved from an occluded anterior tibial artery is presented. The pathology was treated successfully by percutaneous transfemoral placement of Gianturco coils in the tibial artery proximal and distal to the aneurysm. The nonsurgical approach in this patient avoided the risks of anesthesia, blood loss associated with a surgical procedure, the dilemma of the surgical approach in the presence of medial and lateral fasciotomy wounds, and of contamination and destabilization of the comminuted tibia-fibular fractures. This report raises the question of the proper management and followup procedures of occlusions of noncritical arteries found on angiography immediately after trauma.
Authors:
P M Shah; R Mackey; S C Babu; S Kulkarni; R H Clauss
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  25     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1985 Jul 
Date Detail:
Created Date:  1985-08-22     Completed Date:  1985-08-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  656-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / etiology*,  therapy
Arteries
Arteriovenous Fistula / etiology*,  therapy
Constriction, Pathologic / complications
Humans
Leg Injuries / complications*
Male
Tibia / blood supply*
Veins
Wounds, Nonpenetrating / complications*

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


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