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A Journal on Surgery

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

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


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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