Sage Journals: Discover world-class research

Abstract

Purpose:

To describe the successful endovascular treatment of an iatrogenic anterior tibial artery pseudoaneurysm with a polytetrafluoroethylene-covered stent-graft.

Case Report:

A 58-year-old man was admitted to our hospital with pseudoarthrosis and malunion of the right distal tibia. Fibulotomy and intramedullary fixation were performed, which was complicated by a pseudoaneurysm of the anterior tibial artery. Under local anesthesia, a 4×31-mm Symbiot covered stent was successfully placed over the origin of the pseudoaneurysm. At 12 months, the pseudoaneurysm remained excluded, and the anterior tibial artery was patent.

Conclusions:

Endovascular treatment of a crural artery pseudoaneurysm seems to be a feasible treatment option. Further experience with this technique is needed to validate its safety and long-term patency.

Keywords

anterior tibial artery iatrogenic injury pseudoaneurysm stent-graft

Get full access to this article

View all access options for this article.

References

van Schaardenburgh

Steenvoorde

de Bruine

. Thrombotic resolution of a traumatic pseudoaneurysm of the anterior tibial artery after external compression. J Trauma. 2003; 55: 561–565.

Burger

Meyer

Tautenhahn

. Initial experiences with percutaneous endovascular repair of popliteal artery lesions using a new PTFE stent-graft. J Endovasc Surg. 1998; 5: 365–372.

Morrison

. Pseudoaneurysm and penetrating trauma. Injury. 1992; 23: 127–128.

Rich

Hobson

Collins

Jr . Traumatic arteriovenous fistulas and false aneurysms: A review of 558 lesions. Surgery. 1975; 78: 817–828.

Maxwell-Armstrong

Taylor

Majkowski

. False aneurysm of the anterior tibial artery following removal of tibial plate. Eur J Vasc Endovasc Surg. 1995; 10: 505–506.

Aldrich

Anschuetz

LoPresti

. Pseudoaneurysm complicating knee arthroscopy. Arthroscopy. 1995; 11: 229–230.

Miller

Wall

Jr Mattox

. Ruptured aortic pseudoaneurysm 28 years after gunshot wound: Case report and review of the literature. J Trauma. 1998; 44: 214–216.

Roubidoux

Hertzberg

Carroll

. Color flow and image-directed Doppler ultrasound evaluation of iatrogenic arteriovenous fistulas in the groin. J Clin Ultrasound. 1990; 18: 463–469.

Hertz

Brener

. Ultrasound-guided pseudoaneurysm compression: Efficacy after coronary stenting and angioplasty. J Vasc Surg. 1997; 26: 913–916.

10.

Kang

Labropoulos

Mansour

. Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms. J Vasc Surg. 2000; 31: 289–298.

11.

Gasparini

Lovaria

Saccheri

. Percutaneous treatment of iliac aneurysms and pseudoaneurysms with Cragg Endopro System 1 stent-grafts. Cardiovasc Intervent Radiol. 1997; 20: 348–352.

12.

Alexander

Smith

Tucci

. Treatment of an iatrogenic petrous carotid artery pseudoaneurysm with a Symbiot covered stent: Technical case report. Neurosurgery. 2002; 50: 658–662.

13.

Venturini

Angeli

Salvioni

. Hemorrhage from a right hepatic artery pseudoaneurysm: Endovascular treatment with a coronary stent-graft. J Endovasc Ther. 2002; 9: 221–224.