Combined Endovascular Exclusion with Percutaneous Sac Aspiration and Thrombin Injection in the Management of Popliteal Artery Aneurysm.
作者信息
Moreira Mário, Moreira Joana, Anacleto Gabriel, Antunes Luís
机构信息
Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
出版信息
Ann Vasc Surg. 2020 Jul;66:662-664. doi: 10.1016/j.avsg.2020.01.084. Epub 2020 Feb 1.
BACKGROUND
Symptomatic popliteal artery aneurysms (PAAs) can be managed by open surgery or endovascular exclusion.
METHODS
The authors describe a case of a 68-mm PAA causing compressive symptoms and managed by endovascular exclusion combined with percutaneous sac decompression.
RESULTS
Endovascular exclusion allows sac pressure reduction. Additional percutaneous sac aspiration and thrombin injection promote sac shrinking and avoid persistent collateral flow.
CONCLUSIONS
In challenging cases, matching different techniques can be helpful.
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