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Chirurgia 2011 August;24(4):237-9

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Endovascular treatment of traumatic posterior tibial artery pseudoaneurysm

Montisci R. 1, Sanfilippo R. 1, Serra F. 1, Saba L. 2, Pirisi R. 3

1 Operative Unit of Vascular and Thoracic Surgery, Department of Surgery, Azienda Ospedaliero-Universitaria di Cagliari, Cagliari, Italy 2 Department of Imaging, University Hospital of Cagliari, Cagliari, Italy 3 Department of Cardiology, University Hospital of Cagliari, Cagliari, Italy


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The aim of this study was to evaluate the efficacy of endovascular approach in the treatment of traumatic artery lesions. The paper reports the case of a 49-year old male presented with a pulsating mass in the left calf. Five years before he had been victim of a hunt accident. Duplex scan demonstrated a breach in the wall of the posterior tibial artery with formation of a pseudoaneurysm. The risk of nerve injury associated with surgical treatment was considered very high so an endovascular approach was preferred. A covered stent was placed across the artery wall breach so as to obtain a complete sealing of the pseudoaneurysmal sac. The endovascular treatment of arterial lesions seems to be effective but patency assessment needs a longer follow-up period.

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