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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2003 Aprile;44(2):259-62

lingua: Inglese

Endovascular exclusion of iatrogenic femoral artery pseudoaneurysm with the WallgraftTM Endoprosthesis

Stella N., Pellicciotti A., Udini M.

Department of Vascular Surgery “E. Morelli” Hospital, Sondalo (SO), Italy


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Development of femo­ral ­artery pseu­do­aneu­rysm rep­re­sents a con­tin­u­ing prob­lem ­after per­cut­ane­ous periph­er­al inter­ven­tion­al pro­ce­dures as ­well as cor­o­nary angio­plas­ty. We ­report a ­case of symp­to­mat­ic, expand­ing femo­ral ­artery pseu­do­aneu­rysm in a 60-­year-­old ­man ­who under­went per­cut­ane­ous trans­lu­mi­nal cor­o­nary angio­plas­ty ­and stent­ing ­for ­acute myo­car­dial infarc­tion. A ­self-expand­ing Wallgraft™– Endoprosthesis (Boston Scientific, ­USA) ­was deliv­ered ­under flu­o­ro­scop­ic guid­ance ­via con­tra­lat­er­al per­cut­ane­ous femo­ral ­approach to ­the ­site, result­ing in imme­di­ate com­plete exclu­sion of ­the pseu­do­aneu­rysms. Follow-up col­or ­duplex scan­ning con­firmed ­false aneu­rysm exclu­sion 1 ­year ­postpro­ce­dure. Endovascular treat­ment of iat­ro­gen­ic pseu­do­aneu­rysm ­appears to be an attrac­tive alter­na­tive to sur­gi­cal ­repair in crit­i­cal­ly ­ill ­patients, ­with a ­high ­degree of tech­ni­cal suc­cess, ­low mor­bid­ity ­and ­short hos­pi­tal ­stay.

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