Endovascular treatment of a post-traumatic tibial pseudoaneurysm and arteriovenous fistula: Case report and review of the literature

Abstract

Here we report a rare case of a 74-year-old man with a pseudoaneurysm of the anterior tibial artery and a concomitant arteriovenous fistula (AVF). The patient was admitted because of increasing pain following the formation of a large mass located in the anterior mid-portion of the calf after a moderate non-penetrating blunt trauma. A polytetrafluoroethylene-covered stent was placed over the origin of the pseudoaneurysm, with complete exclusion of the pseudoaneurysm and disappearance of the AVF. One year after the procedure the mass had completely disappeared and the vascular anatomy of the calf is well preserved.

Endovascular repair of a 63‐year‐old complication: post‐traumatic anterior tibial artery arteriovenous fistula

“…Good outcomes have been reported in lesions involving the tibioperoneal trunk, 2 posterior tibial artery 3,4 and ATA. 5,6 Spirito et al demonstrated the effective use of a covered stent graft for early treatment of an ATA AVF following a penetrating injury, similar to the lesion in our case, with graft patency and resolution of symptoms at a follow-up of 6 months. 6 Post-traumatic AVF is an uncommon complication and presentation after fracture of the lower limb.…”

Endovascular treatment for a spontaneous rupture of the posterior tibial artery in a patient with Ehlers-Danlos syndrome Type IV: Report of a case

“…9 Recently, there have been an increasing number of reports of successfully treated crural artery aneurysm. 12,14,15 The advantages of the endovascular approach are the protection of the surrounding nerves and adjacent structures during repair and the minimal blood loss. Conversely, the disadvantages include the risk of thrombosing the narrow supplying artery either by stent-graft implantation or by transcatheter introduction of coils and a higher rate of failure.…”

Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch

“…Etiology seems to be related to trauma, bone surgery, infection or rare diseases. Due to the infrequent presentation, management guidelines are missing, and both open surgery 7 as well as endovascular treatment with coil embolization or stentgraft coverage 8 have been reported. To our knowledge this is the first report of a case presenting with aneurysmal degeneration of the distal anastomosis to a tibial artery with a Taylor patch.…”