Late aneurysm formation in a femoro-popliteal polytetrafluoroethylene graft

Biederer, J.; Müller‐Hülsbeck, Stefan; Loose, J. R.; Heller, Martin

doi:10.1007/s003300050909

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Non-anastomotic disruption of a ringed ePTFE graft has also been described in an above knee femoropopliteal bypass 8 . The rupture occurred within the straight femoral part of the graft seven years after implantation without history of trauma.…”

Section: Discussionmentioning

confidence: 85%

“…An association with mechanical stress might also be discussed in this case as two thrombo-embolectomy manoeuvres were performed four years after implantation. It seems unlikely that damage to the wall during these manoeuvres would lead to graft disruption three years later, but mechanical stress to the graft during the period of thrombosis distal to the knee joint might have accelerated the degeneration of the wall by superimposed reflected pulsewaves 8 …”

Section: Discussionmentioning

confidence: 99%

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Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation

Lucereau

Bellissard

Beck

et al. 2019

EJVES Short Reports

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Complete disruption of an expanded polytetrafluoroethylene (ePTFE) vascular graft is rare. This is a report of a case of a 70 year old man presenting with left shoulder dislocation, which was reduced immediately. Two weeks later, the patient presented with Rutherford 2b bilateral lower limb ischaemia related to the thrombosis of an ePTFE axillobifemoral bypass. The graft was implanted five years earlier for treatment of an aorto-enteric fistula secondary to an infected aortobifemoral bypass. A non-anastomotic pseudoaneurysm associated with complete disruption of the ePTFE graft was found. Systematic analysis of the explant showed that the rupture occurred at the level of a ringed external support and that ongoing tears also occurred on the posterior wall of the graft at the level of this external support. In conclusion, complete analysis of failure mechanisms even from an isolated report is mandatory.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation

Lucereau

Bellissard

Beck

et al. 2019

EJVES Short Reports

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“…1 On the other hand, there were no graft aneurysms observed in a study with a 7year followup of 90 patients who underwent femoropopliteal graft implantation using ePTFE grafts. 17 The first case of reinforced ePTFE graft aneurysm was reported by Campbell et al 18 in a femoro popliteal bypass graft in 1976, followed by other cases by Biederer et al 12 and Punnam et al 19 Aneurysm of ePTFE axillofemoral graft was reported by Oz et al 20…”

Section: Discussionmentioning

confidence: 97%

“…When considering the treatment options for such a pseudoaneurysm, open surgical excision of the damaged portion and repair by interposition graft remains the gold standard procedure. 12,18 However, percutaneous endovas cular exclusion of the aneurysm has been used in such cases with increasing frequency, as the procedure is easy to carry out and it is less risky, than open surgical repair performed under general anesthesia. Moreover, it is cost effective and is carried out as a day case procedure.…”

Section: In 2002mentioning

confidence: 99%

Pseudo Aneurysm of a 21 Year Old ePTFE Femoro-Femoral Crossover Graft: Successful Endovascular Repair Using an ePTFE Lined Nitinol Stent Graft

Subramanian

Hassouna²,

Bahal³

et al. 2010

Perspectives in Vascular Surgery and Endovascular Therapy

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With the advancement of technology and manufacturing of prosthetic grafts, non- anastomotic pseudoaneurysm arising from a graft is now uncommon. Here we report a case of non-anastomotic pseudo aneurysm occurring 21 years after implantation of ePTFE femoro-femoral crossover graft. An 80 year old female with a previous history of a femoro- femoral cross-over bypass surgery performed using a10 mm reinforced polytetrafluoroethylene graft presented with a pulsatile lump in her right groin. CT angiography showed a fusiform type non-ruptured false aneurysm of 6.4 cm maximum diameter and was arising directly from the graft. Because of the risk of rupture, the patient was treated endovascularly with 13 mm * 8 cm Viabahn self-expanding covered stent across the pseudo aneurysm. The final angiographic results were excellent and showed resolution of the aneurysm with good flow through the graft and distal vessel. This type of complication is easily diagnosed by clinical examination and imaging studies, which display an aneurysm of the graft remote from the anastomosis. Percutaneous intervention with covered stent may offer an easy and safe way to treat this type of aneurysm.

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“…Pseudoaneurysm formation has been reported in the body of a PTFE graft rather than at the anastomotic site. 3 Although aneurysm development after prosthetic bypass is well known in the groin, it is absent in literature dealing with prosthetic bypass distal to the popliteal artery. 4…”

Section: Introductionmentioning

confidence: 99%

Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch

Enzmann¹,

Linni²,

Hölzenbein³

2015

EJVES Short Reports

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Introduction: A 45-year-old mailman underwent an implantation of a femoro-peroneal polytetrafluoroethylene (PTFE) bypass with a distal Taylor patch six years prior to admission after two failed autologous reconstructions and extensive fasciotomy. The initial pathology was an acute ischemia due to popliteal entrapment with subsequent popliteal thrombectomy. Report: The patient was examined because of pain, reduction of walking distance and development of a palpable mass at the medial fasciotomy site. A 6-cm pseudoaneurysm with complete disruption of the suture line of the vein patch was discovered and resected. Arterial continuity with a vein interposition graft was established using non-reversed cephalic vein. Conclusion: The etiology of the aneurysm is not entirely clear. One may argue that the fourth revascularization could have been performed with an arm vein instead of a prosthetic graft with the probability of a better long term patency in a young patient. 15 months after the procedure the bypass is patent and the patient is without any symptoms. This complication of a Taylor patch has not been reported before.

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Late aneurysm formation in a femoro-popliteal polytetrafluoroethylene graft

Cited by 6 publications

References 4 publications

Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation

Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation

Pseudo Aneurysm of a 21 Year Old ePTFE Femoro-Femoral Crossover Graft: Successful Endovascular Repair Using an ePTFE Lined Nitinol Stent Graft

Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch

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