False aneurysm of perforating branch of the deep femoral artery—Report of two cases

Naouli, H.; Jiber, Hamid; Bouarhroum, Abdellatif

doi:10.1016/j.ijscr.2015.07.001

Cited by 27 publications

(35 citation statements)

References 32 publications

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“…Only a few cases have been reported in the literature, analyzing a total of 131 cases of arterial PSAs and concluding that arteriography is the investigation of choice to confirm the diagnosis, while good options for treatment are embolization for small branch PSAs or stent grafts for PSAs originating from arterial trunks (as in the present case) 7 . Alternatively, surgical ligation or repair of PSAs is still an option 6, 7. This is the treatment of choice in the presence of rupture, limb ischemia, or distal embolization 3 .…”

Section: Discussionmentioning

confidence: 81%

“…Injury to the DFA accounts for approximately 2% of peripheral arterial wounds 5, 6. Undiagnosed complications include PSA and arteriovenous fistula 6 .…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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 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.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

Reis

Roever

Reis³

et al. 2016

EJVES Short Reports

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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.

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Section: Discussionmentioning

confidence: 81%

“…Injury to the DFA accounts for approximately 2% of peripheral arterial wounds 5, 6. Undiagnosed complications include PSA and arteriovenous fistula 6 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

Reis

Roever

Reis³

et al. 2016

EJVES Short Reports

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“…Pseudoaneurysm of the deep femoral artery has been reported occasionally after external injury to the thigh and orthopedic surgery of the femur [1,2]. Rarely, a spontaneous pseudoaneurysm of the deep femoral artery has developed without a clear history of trauma or orthopedic surgery of the femur under special conditions [3,4].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Rupture of a Deep Femoral Pseudoaneurysm Mimicking Lymphedema After Radical Hysterectomy in a Woman Who Was Receiving Warfarin

et al. 2016

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Pseudoaneurysms of the deep femoral artery have been reported after external injury to the thigh and orthopedic surgery of the femur. We describe our experience with a case of spontaneous rupture of a deep femoral pseudoaneurysm in a woman who was receiving warfarin within the therapeutic range. She received a choledocholithotomy after a radical hysterectomy for uterine cervical cancer (stage IB1). Pulmonary embolism and deep-vein thrombosis developed after choledocholithotomy, and an inferior vena cava filter was left in place permanently. She was receiving warfarin since then. This time, the patient presented with a pseudoaneurysm of the deep femoral artery and a large hematoma in the adductor muscle of the thigh. Swelling of the thigh in this condition resembled the lower-extremity edema that occurs after pelvic lymph-node dissection. Contrast-enhanced computed tomography (CT) was useful for diagnosis of the pseudoaneurysm and evaluation of the extent of muscle damage.

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Factors associated with prolonged procedure time of embolization for trauma patients

Aoki

Matsumoto²,

Toyoda³

et al. 2022

Acute Medicine & Surgery

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Aim Limited information exists on the factors associated with prolonged procedural time in embolization for trauma patients. We clarified the clinical application of embolization in trauma patients and factors associated with a prolonged procedure time. Methods Medical records of 162 trauma patients who underwent embolization between January 2007 and December 2020 at a regional trauma care center were reviewed retrospectively. Patients were divided into four embolized body regions: chest, abdomen, pelvis, and other. Patient demographics, trauma mechanism, physiology, trauma severity, embolization procedures, and 30‐day mortality were examined. The outcomes were identifying an embolized body region, embolized arteries, and procedure time. Multiple regression model was created to investigate the factors associated with prolonged procedural time in embolization. Results Embolization was mainly undertaken in pelvic fractures (n = 96, 59%) and abdominal organ injuries (n = 57, 35%) and extended to the chest (n = 17, 10%), and other (n = 20, 12%). Approximately 13% (n = 21) of patients underwent embolization in two or more regions. Embolization was more strictly performed in minor artery injuries, for example, external iliac (n = 15, 16%) and lumbar artery (n = 22, 23%) branches in pelvic fractures, and inferior phrenic artery (n = 2, 3.5%) branches in liver injuries. Multiple regression model indicated that the number of embolized arteries (P = 0.021) and number of embolized regions (P < 0.001) were associated with prolonged procedural time in embolization. Conclusions Embolization for trauma patients extended to various trauma regions. In time‐sensitive embolization, emergency interventional radiologists showed superior knowledge of expected embolizing arteries and factors associated with procedure time.

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False aneurysm of perforating branch of the deep femoral artery—Report of two cases

Cited by 27 publications

References 32 publications

Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

Spontaneous Rupture of a Deep Femoral Pseudoaneurysm Mimicking Lymphedema After Radical Hysterectomy in a Woman Who Was Receiving Warfarin

Factors associated with prolonged procedure time of embolization for trauma patients

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