Less Invasive (Common) Femoral Artery Aneurysm Repair Using Endografts and Limited Dissection (original) (raw)
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Endovascular stent-grafts for aneurysms of the femoral and popliteal arteries
Annals of vascular surgery, 1999
Our objective was to investigate the preliminary use of endovascular stent-grafts for the treatment of femoropopliteal artery aneurysm. Ten patients with an aneurysm of the femoropopliteal artery referred for endovascular treatment were investigated. The series consisted of patients with a true aneurysm of the superficial femoral artery (n = 2); a true aneurysm of the popliteal artery (n = 4); an aneurysmal dilatation of a Biograft bypass (n = 2); a false aneurysm of the superficial femoral aneurysm (n = 1); and a false aneurysm of a composite bypass (n = 1). In 8 of the 10 patients the stent-graft was composed of one or more Palmaz stents sutured to an ePTFE tube graft; in the other 2 patients a venous covering was used in combination with Palmaz stents. The procedure was guided by angiography and intravascular ultrasound. The results of our investigation showed that endovascular stent-grafting of aneurysms of the femoropopliteal artery is a feasible but experimental technique that...
Journal of Vascular Surgery, 2008
We report the use of a unique hybrid technique to treat a patient with a painful aneurysm extending both above and below the inguinal ligament. The patient was at high surgical risk, and endovascular treatment was not possible due to the absence of an appropriate vascular access site. Under local anesthesia, this aneurysm was treated using both a stent graft and a traditional Dacron graft for the iliac and femoral portions, respectively. Simultaneously, a popliteal aneurysm was treated endovascularly through a jump graft, which was used to bypass a short occlusion at the origin of the superficial femoral artery. Hybrid techniques can be an alternative approach in high-risk patients where endovascular procedures cannot be applied.
Endovascular repair of profunda femoral artery false aneurysms using covered stents
Pseudoaneurysms of the profunda femoral artery (PFA) have been reported following different types of trauma, mostly iatrogenic. We present three cases of PFA false aneurysm formation, two after vascular procedures and one as a result of a gunshot injury, which were successfully treated with the endovascular deployment of covered stents. Treating these patients by endoluminal means is an efficient and feasible minimally invasive approach. If the patient is relatively stable and there are no major compression issues, stenting could be considered as adequate therapy for these situations. Certainly, a larger series are needed in order to testify to the long-term results and ascertain the durability of such a repair.