Covered Endovascular Reconstruction of Femoral Arterial Bifurcation (CERFAB): A Feasible Technique for Anastomotic Pseudoaneurysms

Chaudhuri, Arindam; Badawy, Ayman; Dey, Ramita

doi:10.1016/j.ejvs.2020.02.002

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“…Once the profunda femoris artery was catheterized selectively to identify the most suitable distal landing zone, SG was deployed across the bifurcation in all but one case (Figure 3). In one case, the femoral bifurcation was preserved using a kissing SG configuration because both the superficial femoral artery and the profunda femoris artery were patent 4 (Figure 4). All SGs were then post-dilated.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of stent-graft repair for anastomotic femoral pseudoaneurysm. A case series

et al. 2021

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Objective This study aims to report a case series of anastomotic femoral pseudoaneurysms (PSA) treated with stent-grafting (SG) in patients at high-risk for the open surgical approach. Methods It is a retrospective, observational cohort study. Between 1 January 2002 and 1 April 2020, post-hoc analysis of the database including patients who received repair for femoral PSA identified those treated with SG. All but one patient were approached through a contralateral percutaneous transfemoral access, and the SG was always deployed from the common femoral artery to the profunda femoris artery. For this study, primary outcomes of interest were early (≤ 30 days) survival and patency rate. Results We identified 10/823 cases of the entire PSA cohort (1.2%). There were 9 men and 1 woman: the mean age was 76 years ± 9 (range: 64–92). Urgent intervention was performed in 4 patients. The median operative time was 30 min (IQR: 25–36). Access-related complication was never observed. In-hospital mortality occurred in 1 patient due to novel coronavirus-19–related pneumonia. Median follow-up was 24 months (IQR: 12–37); 5 patients died. At the last radiologic follow-up available, all SGs were patent without necessity of reintervention. Conclusion Stent-graft repair for anastomotic femoral PSA may be considered a reasonable alternative for patients at high-risk for open surgical repair.

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Section: Methodsmentioning

confidence: 99%