Endovascular Treatment of Isolated Degenerative Superficial Femoral Artery Aneurysm

Mufty, Hozan; Daenens, Kim; Houthoofd, Sabrina; Fourneau, Inge

doi:10.1016/j.avsg.2017.11.038

Cited by 17 publications

(5 citation statements)

References 13 publications

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“…Endovascular repair with stent-grafts is a considerable option given the fact that the localization of the SFA prevents kinking of the stent-graft. 12…”

Section: Discussionmentioning

confidence: 99%

Irreversible Limb Ischemia Due to Embolizing Aneurysm of the Superficial Femoral Artery

Georgakarakos

Tasopoulou

Kofina

et al. 2021

Vasc Endovascular Surg

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Background: Degenerative superficial femoral artery aneurysms are rare and can lead to catastrophic complications; among these, rupture is the most usual, whereas peripheral embolization is less common. Method: We report a patient with a large superficial femoral artery aneurysm presenting with irreversible limb ischemia, due to multiple distal embolization as demonstrated with urgent computed tomography angiography. Due to local and systemic consequences primary limb amputation was performed. Unfortunately, the patient died from cardiac arrest on the 2nd postoperative day. Conclusion: Delayed diagnosis of true superficial femoral artery aneurysms can result in life-threatening consequences. Peripheral embolization is an uncommon event, but can lead to irreversible ischemia and limb loss.

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“…Endovascular repair with stent-grafts is a considerable option given the fact that the localization of the SFA prevents kinking of the stent-graft. 12…”

Section: Discussionmentioning

confidence: 99%

Irreversible Limb Ischemia Due to Embolizing Aneurysm of the Superficial Femoral Artery

Georgakarakos

Tasopoulou

Kofina

et al. 2021

Vasc Endovascular Surg

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“…Covered stents have been used successfully for FAAs of the mid-to-distal superficial femoral artery, a location for which there is generally an adequate zone for sealing, and protection from bending stresses [15]. However, only 10 cases of such repair are reported in the literature, and long-term data are unavailable [16].…”

Section: Case Reportmentioning

confidence: 99%

Critical Limb Ischaemia for Thrombosed Common Femoral Artery Aneurysm: A Successful Hybrid Treatment

Orellana¹,

Fresilli²,

Fabio³

et al. 2021

Int Arch Vasc Med

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True atherosclerotic aneurysms of the common femoral artery (CFA) are rare and often associated with other peripheral or aortic aneurysms. Degenerative aneurysms of the lower extremity most commonly involve the popliteal artery, while they are rarely detected in the femoral region. In this region, aneurysms most frequently involve the common femoral artery (CFA), whereas true aneurysms of the superficial femoral artery (SFA) represent only 15% to 25% of femoral arterial aneurysms.We report a case of an 84-year-old patient presenting a degenerative thrombosed aneurysm of the CFA and critical limb ischemia. After an accurate workout, the patient underwent successful aneurysmectomy and bypass grafting, with a satisfying mild-term follow-up and patency of the graft. The patient came back presenting surgical site infection (SSI) and wound dehiscence that was successfully treated with the Vacuum Assisted Therapy (V.A.C.® therapy) and accurate medical therapy.Aneurysmectomy and revascularization of the distal CFA with an artificial blood vessel graft were performed, associated with revascularization and stenting of the left femoral-iliac axis. CFA aneurysms are rare and have a low rate of rupture but high risk of complications like embolic or thrombotic lower limb ischemia with challenging treatment solutions. Nowadays open vascular surgery, sometimes in association with the endovascular procedure, plays an important role in the treatment of this pathology.

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“…Endovaskuläre Versorgungen isolierter AFS-Aneurysmen werden in der Literatur im Wesentlichen nur in Fallberichten beschrieben. Hier kam es insbesondere zu Komplikationen wie peripherer Embolisation aus dem Aneurysma im Rahmen der Intervention oder Frühverschlüssen des Stentgrafts [35]. Der Einsatz von Vascular Plugs proximal des Aneurysmas und Coiling distal bei moribunden Patienten mit symptomatischem AFS-Aneurysma wurde ebenfalls im Rahmen eines Case Reports beschrieben [36].…”

Section: Aneurysmen Der a Femoralis Superficialisunclassified

Therapie primärer Aneurysmen der Extremitätenarterien

et al. 2019

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ZusammenfassungPeriphere arterielle Aneurysmen sind seltene Gefäßerkrankungen, bei denen das betroffene Gefäßsegment auf mindestens das 1,5-Fache des nativen Gefäßdurchmessers dilatiert ist. Grundsätzlich können primäre Aneurysmen an sämtlichen Gefäßen auftreten. Die diagnostischen Verfahren umfassen neben der Duplexsonografie die CT- und MR-Angiografie sowie die digitale Subtraktionsangiografie. Von essenzieller Bedeutung ist es, im Rahmen der Diagnostik die Morphologie des Aneurysmas und die Zu- und Abstromverhältnisse möglichst exakt abzubilden. Die häufigste Entität peripherer Aneurysmen sind Poplitealarterienaneurysmen, die eine hohe Koinzidenz mit Aortenaneurysmen haben. Im Rahmen von Bindegewebserkrankungen oder Autoimmunerkrankungen können periphere arterielle Aneurysmen gehäuft auftreten (Ehlers-Danlos-Syndrom, Marfan-Syndrom, Morbus Behçet). Therapeutisch stehen als aktueller Therapiestandard offen chirurgische Verfahren zur Verfügung, aber auch endovaskuläre Therapieansätze sind beschrieben. Aktuell bietet die Literatur aufgrund der Seltenheit der Erkrankungen keine gute Evidenz zum Vergleich beider Verfahren. Für das Poplitealarterienaneurysma zeichnet sich aufgrund von mehreren Registerstudien und Singlecenterstudien ab, dass bei strenger Patientenselektion die endovaskuläre Therapie ein vergleichbares Outcome zur offenen Therapie bieten kann, wenngleich offene Chirurgie therapeutischer Standard bleibt. Für die Therapieplanung arterieller Aneurysmen an den Extremitäten müssen insbesondere individuelle Behandlungskriterien wie die Morphologie des Aneurysmas, die anatomische Lokalisation, besonders in Bezug auf bewegliche Segmente, der Gefäßabstrom und der Allgemeinzustand des Patienten berücksichtigt werden.

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Endovascular Treatment of Isolated Degenerative Superficial Femoral Artery Aneurysm

Cited by 17 publications

References 13 publications

Irreversible Limb Ischemia Due to Embolizing Aneurysm of the Superficial Femoral Artery

Irreversible Limb Ischemia Due to Embolizing Aneurysm of the Superficial Femoral Artery

Critical Limb Ischaemia for Thrombosed Common Femoral Artery Aneurysm: A Successful Hybrid Treatment

Therapie primärer Aneurysmen der Extremitätenarterien

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