Karkos Christos D, Karamanos Dimitrios G, Papadimitriou Dimitrios N, Demiropoulos Filippos, Zambas Neophytos, Gerassimidis Thomas S
Fifth Department of Surgery, Aristotle University of Thessaloniki, Hippocrateio Hospital, Thessaloniki, Greece.
Ann Vasc Surg. 2010 Aug;24(6):824.e15-7. doi: 10.1016/j.avsg.2010.02.029. Epub 2010 May 15.
Iatrogenic pseudoaneurysms after femoral embolectomy are unusual and have been described in the peroneal, posterior tibial, and popliteal arteries. We present an unusual case of such a pseudoaneurysm originating from a medial superior genicular collateral vessel that was coming off the proximal popliteal artery at an acute angle. It is likely that the embolectomy catheter had accidentally entered this branch, which ruptured when the balloon was inflated. Transcatheter coil embolization resulted in successful thrombosis of the pseudoaneurysm.
股动脉取栓术后医源性假性动脉瘤并不常见，在腓动脉、胫后动脉和腘动脉中已有相关报道。我们报告了一例罕见的假性动脉瘤病例，其起源于膝上内侧副支血管，该血管以锐角从腘动脉近端发出。很可能取栓导管意外进入了该分支，在球囊膨胀时发生破裂。经导管弹簧圈栓塞成功使假性动脉瘤血栓形成。
