Endovascular treatment of a post-traumatic pseudoaneurysm arising from a ruptured posterior tibial artery with Menox. A case report

Abstract

Posterior tibial artery pseudoaneurysms are rare and can occur in the setting of trauma. Endovascular treatment of post-traumatic pseudoaneurysms has become a viable less-invasive method particularly in young patients in whom the presence of collaterals guarantees distal vascularization. We report an unusual case of a 16-year- old patient who sustained blunt trauma to his right lower extremity due to a bicycle injury and developed a delayed symptomatic pseudoaneurysm of the posterior tibial artery in the absence of tibia fracture. Superselective endovascular treatment with Ethylene Vinyl Alcohol Copolymer based liquid embolic system (Menox) was successfully performed, achieving exclusion of the pseudoaneurysm with preservation of the remaining vascularization of the lower limb.

Stent graft placement in anterior tibial artery pseudoaneurysm in a patient with type I neurofibromatosis: A case report

“…In such cases, a coronary device should be used. [7,8] To the best of our knowledge, there have been no reports of stent graft placement in patients with tibial artery pseudoaneurysms caused by NF-I. Herein, we report the first case of anterior tibial artery (ATA) pseudoaneurysm management using a stent graft in a patient without a posterior tibial artery (PTA) or a peroneal artery.…”

“…[4][5][6] In general, for tibial artery pseudoaneurysms or ruptures caused by trauma, coil embolization is the most common endovascular treatment. [7,8] Stent grafts are used for wide-necked pseudoaneurysms; however, a stent graft that can be used for peripheral intervention has a diameter of 5 mm or more, which is too large for use in the tibial artery. In such cases, a coronary device should be used.…”