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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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The Journal of Cardiovascular Surgery 2003 Aprile;44(2):259-62

VASCULAR SECTION 

 CASE REPORTS

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

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.

lingua: Inglese


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