Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Gyeeonggi-do, Korea.
Medicine (Baltimore). 2022 Dec 30;101(52):e32447. doi: 10.1097/MD.0000000000032447.
Vascular involvement manifests as aneurysms, stenosis, and arteriovenous malformations in patients with type I neurofibromatosis (NF-I). Aneurysms are rare; however, the renal artery is the most common site. Herein, we report a rare case of stent graft placement in an anterior tibial artery (ATA) pseudoaneurysm in a patient with NF-I.
A 52-year-old woman with NF-1 was admitted to the emergency room with painful swelling in the left lower leg. At presentation, the patient's blood pressure was 100/60 mmHg and the hemoglobin level was 9 g/dL.
Computed tomography scan revealed a small aneurysm arising from the left ATA and an adjacent large hematoma.
Stent graft placement was performed to treat ATA pseudoaneurysm.
After stent graft placement, the aneurysm disappeared and the distal flow was patent through the ATA.
Stent graft placement should be considered as another option for endovascular treatment in patients in whom coil embolization or surgery cannot be performed.
在 1 型神经纤维瘤病（NF-I）患者中，血管受累表现为动脉瘤、狭窄和动静脉畸形。动脉瘤较为罕见，但肾动脉是最常见的受累部位。在此，我们报告一例 NF-I 患者前胫动脉（ATA）假性动脉瘤中支架置入的罕见病例。
一名 52 岁女性患有 NF-1，因左小腿疼痛性肿胀而被收入急诊室。就诊时，患者血压为 100/60mmHg，血红蛋白水平为 9g/dL。
计算机断层扫描显示左 ATA 处有一小动脉瘤，且邻近有一大血肿。
进行支架置入术以治疗 ATA 假性动脉瘤。
支架置入术后，动脉瘤消失，ATA 远端血流通畅。
对于 coil embolization 或手术无法进行的患者，支架置入术应该被视为另一种血管内治疗选择。
