Joglar Fernando, Kabutey Nii-Kabu, Maree Andrew, Farber Alik
Section of Vascular and Endovascular Surgery, Boston Medical Center, Boston, MA 02118, USA.
Vasc Endovascular Surg. 2010 Jul;44(5):407-9. doi: 10.1177/1538574410369391. Epub 2010 May 18.
Tibial artery pseudoaneurysms can occur in the setting of trauma. Operative exposure and repair of these injuries can be challenging, and surgical management options include direct arterial repair, interposition grafting, or arterial ligation. Other techniques including duplex-guided compression, thrombin injection, and endovascular intervention have been described. We present the case of a 39-year-old man who sustained blunt trauma to his right lower extremity and developed a delayed symptomatic pseudoaneurysm of the posterior tibial artery. He was successfully managed with endovascular stent graft exclusion of the pseudoaneurysm. Endovascular stent-grafting techniques can be successfully applied to the management of traumatic tibial pseudoaneurysms.
胫动脉假性动脉瘤可发生于创伤情况下。对这些损伤进行手术显露和修复具有挑战性，手术治疗选择包括直接动脉修复、间置移植或动脉结扎。还描述了其他技术，包括双功超声引导下压迫、凝血酶注射和血管内介入。我们报告一例39岁男性，其右下肢遭受钝性创伤，出现胫后动脉迟发性有症状假性动脉瘤。他通过血管内支架移植物排除假性动脉瘤获得成功治疗。血管内支架移植技术可成功应用于创伤性胫动脉假性动脉瘤的治疗。
