Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

Abstract

IntroductionPseudoaneurysms (PSAs) are uncommon, but can occur as a complication of orthopedic procedures, usually associated with femur surgery. This report describes successful management of a PSA of the deep femoral artery (DFA) with an endovascular stent graft.ReportThis case reports an injury that presented as a false aneurysm secondary to a fractured neck of femur, which was initially confused with hematoma. Imaging confirmed the diagnosis of PSA, and the decision was taken to implant an endovascular stent graft.DiscussionThe endovascular stent graft was implanted based on radiological, anatomical, and clinical parameters. This case supports the feasibility, safety, and efficacy of stenting for PSA of the DFA.

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

“…Not only did we use a single SG in all but one case, but in the only one we needed to adapt the calibers of the landing zones, it was easy to customize the implantation by using two different SGs with a telescope technique. 13–17 Another important aspect is the role of the postoperative anti-thrombotic therapy: although the use of single antiplatelet therapy has been described in half of the cases reported in the literature of the profunda femoris artery SG, in our opinion, dual antiplatelet therapy would have been more protective. 3,11,15 Whether this variable has played a key role in maintaining the patency of the SG or not, we are far from being able to elucidate which is the best medical therapy in such rare scenarios.…”

Stent graft exclusion of a mycotic profunda femoris artery pseudoaneurysm with 2-year follow-up

“…Mycotic profunda femoris artery (PFA) pseudoaneurysms are rare, and the treatment is generally decided on a case-by-case basis. The use of covered stent grafts to successfully exclude non-infected PFA pseudoaneurysms has been reported in the literature with good outcomes 2–6…”