CASE REPORTS  VASCULAR SECTION 

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

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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.