Shaft Aneurysm of Femoropopliteal Expanded Polytetrafluoroethylene Graft Treated With a Covered Stent

Abstract

Aneurysm formation is a known complication of native vein or synthetic grafts following peripheral bypass surgery. However, with improvement in the material used for prosthetic grafts, these complications are now uncommon. Open surgery has always been the treatment of choice for aneurysms, but the emergence of percutaneous endovascular intervention has led to a safer and easier way to treat aneurysms. In this article, a unique case of aneurysm in a reinforced expanded polytetrafluoroethylene graft placed 11 years ago during a femoropopliteal bypass surgery in a 77-year-old woman with peripheral arterial disease is presented. The aneurysm was treated percutaneously with a self-expanding covered stent resulting in complete isolation of the aneurysm with no complications encountered.

Keywords

peripheral arterial disease aneurysm PTFE graft covered stent viabahn stent graft aneurysm

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References

Osler W. Aneurysm of the abdominal aorta. Lancet. 1905 ;2:1089.

Johnston KW , Rutherford RB , Tilson MD , et al. Suggested standards for reporting on arterial aneurysms. Subcommittee on reporting standards for arterial aneurysms. Ad hoc committee on reporting standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg. 1991;13: 452-458.

Cronenwett JL Arterial aneurysms. In: Rutherford RB , ed. Vascular Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2005.

Hufnagel CA Permanent intubation of the thoracic aorta. Arch Surg. 1947;54:382.

Donovan TJ , Zimmerman B. The effect of artificial surface on blood coagulability, with special reference to polyethylene. Blood. 1949;4:1310.

Moore HD The replacement of blood vessels by polyethylene tubes. Surg Gynecol Obstet. 1950;91:593.

Voorhees AB Jr , Jaretzki A. , Blakemore AH The use of tubes constructed of Vinyon N cloth in bridging arterial defects. Ann Surg. 1952 ;135:332.

Mohr L. , Smith LL Polytetraflouroethylene graft aneurysms: report of five aneurysms. Arch Surg. 1980; 115:1467-1470.

Roberts AK , Johnson N. Aneurysm formation in an expanded microporous polytetraflouroethylene graft . Arch Surg. 1978;113:211-213.

10.

Van Damme H. , Deprez M. , Creemers E. , Limet R. Intrinsic structural failure of polyester (Dacron) vascular grafts. A general review. Acta Chir Belg. 2005;105:249-255.

11.

Mcauley CE , Steed DL , Webster MW Seven-year follow-up of expanded polytetrafluoroethylene (PTFE) femoropopliteal bypass grafts. Ann Surg. 1984;199:57-60.

12.

Campbell CD , Brooks DH , Webster MW , et al. Aneurysm formation in expanded polytetrafluoroethylene prostheses . Surgery. 1976;79:491-493.

13.

Biederer J. , Muller-Hulsbeck S. , Loose JR , Heller M. Late aneurysm formation in a femoropopliteal polytetrafluoroethylene graft . Eur Radiol. 1999;9:1678-1681.

14.

Oz BS , Yilmaz AT , Gunay C. , Bulakbasi N. , Tatar H. True aneurysm formation in axillofemoral bypass with a reinforced ePTFE graft . Vasc Endovascular Surg. 2002;36:327-329.

15.

Arvanitis DP , Georgopoulos SE , Dervisis KI , Argitis VP , Xanthopoulos DK Late non-anastomotic false aneurysm formation in femoropopliteal polyethylene terephthalate grafts. Int Angiol. 2001;20:348-350.

16.

Khaira HS , Vohra H. True aneurysm in a femoropopliteal dacron graft: a case report and literature review. Cardiovasc Surg. 2002;10:644-646.

17.

Lagana D. , Mangini M. , Marras M. , et al. Percutaneous treatment of femoropopliteal aneurysms with covered stents. Radiol Interventistica. 2002;104:322-331.

18.

Muller-Hulsbeck S. , Link J. , Schwarzenberg H. , Walluscheck KP , Heller M. Percutaneous endoluminal stent and stent-graft placement for the treatment of femoropopliteal aneurysms: early experience . Cardiovasc Intervent Radiol. 1999;22:96-102.

19.

Rajasinghe HA , Tzilinis A. , Keller T. , Schafer J. , Urrea S. Endovascular exclusion of popliteal artery aneurysms with expanded polytetrafluoroethylene stent-grafts; early results . Vasc Endovascular Surg. 2007;40:460-466.

20.

Giannoukas AD , Chan P. , Gaines PA Endoluminal repair of anastomotic false popliteal aneurysm using the wallgraft endoprosthesis. Int Angiol. 2005;24:95-97.