Endovascular Repair of a Large Deep Femoral Artery Branch Pseudoaneurysm Following a Femur Fracture: A Case Report

Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

“…showed advances in endovascular procedures with embolic materials that made PSA treatment safe and efficient. 8 Others agree that endovascular stent graft placement is safe, 3 , 4 , 9 , 10 and this was therefore chosen as the most appropriate treatment option for the present case.…”

“… 6 , 7 This is the treatment of choice in the presence of rupture, limb ischemia, or distal embolization. 3 There are several other reports of DFA-PSAs being treated with various embolization techniques. 6 , 8 Waldher et al.…”

“…Two covered stents were necessary for the patient, showing trunk patency and complete exclusion of the PSA ( Figure 3 , Figure 6 ) as in the literature. 3 , 4 , 9 , 10 …”

“…Fractured femur neck is a common presentation and arterial injury is a rare but recognized complication of proximal femur fractures. 1 , 2 , 3 , 4 Most injuries are sub-clinical and radiological imaging is used to confirm the suspicion using duplex ultrasonography, computed tomography angiography (CTA), or angiography during the procedure. Depending on the anatomical characteristics and hemodynamic status of the patient, either an open or endovascular approach should be performed.…”

“…Depending on the anatomical characteristics and hemodynamic status of the patient, either an open or endovascular approach should be performed. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 This case reports a femoral fracture with delayed presentation of a deep femoral artery pseudoaneurysm (DFA-PSA) that was, at first confused with hematoma and initially presented with bleeding after orthopedic surgery. It was managed successfully with an endovascular stent graft after diagnosis.…”