Wad Morten, Pedersen Brian Lindegaard, Lönn Lars, Sillesen Henrik
Department of Vascular Surgery, Rigshospitalet, National Hospital, Copenhagen University, Denmark.
Int J Surg Case Rep. 2013;4(10):831-3. doi: 10.1016/j.ijscr.2013.06.013. Epub 2013 Jul 19.
Endovascular treatment of aneurysms in the superficial femoral artery (SFA) and popliteal segments is a suggested alternative to open surgical repair. Careful selection of patients for endovascular treatment of SFA aneurysms is mandatory.
A complication due to endovascular stent-graft treatment in an 80-year old male with a 6 cm aneurysm in the SFA is presented. Hygroma developed after a partially unintended extravascular placed stent-graft. Two consecutive explorations resulted in a femoro-popliteal Polytetrafluoro-ethylene (PTFE) by-pass graft as the final solution.
Several explanations for the patient's complications are suggested.
A primary femoral-femoral/popliteal by-pass might be the best solution in SFA aneurysms due to risk of stent complications.
股浅动脉(SFA)和腘动脉段动脉瘤的血管内治疗是开放性手术修复的一种推荐替代方案。对适合进行SFA动脉瘤血管内治疗的患者进行仔细选择是必不可少的。
本文介绍了一名80岁男性,其SFA有一个6厘米的动脉瘤,在接受血管内支架移植物治疗时出现了并发症。在部分意外的血管外放置支架移植物后出现了滑液囊肿。连续两次探查后,最终采用股腘聚四氟乙烯(PTFE)旁路移植作为解决方案。
对患者的并发症提出了几种解释。
由于存在支架并发症的风险,原发性股-股/腘动脉旁路移植可能是SFA动脉瘤的最佳解决方案。