Repair of a combined femoral pseudoaneurysm and arteriovenous fistula using a covered stent graft.
Am Surg
; 73(3): 227-9, 2007 Mar.
Article
em En
| MEDLINE
| ID: mdl-17375776
ABSTRACT
Our purpose was to demonstrate clinical efficacy of covered stent use in the peripheral vasculature. A 68-year-old man was transferred from an outlying hospital for evaluation and treatment of a pulsatile mass in his right groin after cardiac catheterization. Imaging with duplex ultrasound and diagnostic arteriogram demonstrated a 6-cm pseudoaneurysm (PSA) of the right superficial femoral artery (SFA) and an arteriovenous fistula (AVF) of the SFA and the profunda vein. Using a covered stent extending from the proximal SFA across the origins of the AVF and PSA, complete exclusion was attained. Follow-up ultrasound at 6 weeks revealed a patent stent, no AVF, and thrombosis of the PSA. Endovascular treatment of peripheral lesions (AVF/PSA) in an elective to semi-elective setting offers patients a safe, less invasive treatment option to consider over traditional open surgery. Consequently, a formidable reduction in incision length, wound infection, and postoperative immobility can be expected.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veia Safena
/
Stents
/
Fístula Arteriovenosa
/
Falso Aneurisma
/
Implante de Prótese Vascular
/
Materiais Revestidos Biocompatíveis
/
Artéria Femoral
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Am Surg
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos