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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2011, Number 3

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Rev Mex Angiol 2011; 39 (3)

Pseudoaneurisma de arteria femoral postraumático

Sánchez NN, Carpio CÓG, Vallejo BE, Osnaya MJC, Cal MTI, Serrano LJA

Language: Spanish
References: 14
Page: 118-122
PDF size: 254.64 Kb.


ABSTRACT

Objective: To present the case of a young patient with a postraumatic pseudoaneurysm on the superficial femoral artery, complicated by ischemia of the limb.
Case report: Background: We review the different therapeutic possibilities comparing their advantages and disadvantages like: guided compression, thrombin injection, exclusion with an endoprosthesis, and surgical reparation. Method: We decided an endovascular approach, placing a nitinol covered Stent with PTFEe, and dual antiagregant therapy with clopidogrel and acetylsalicylic acid. Results: after the exclusion of the pseudoaneurysm the patient recovered the distal tibial pulses, with an 0.8 ABI, the 12 month ultrasonografic control demonstrated the Stent permeability.
Conclusion: The exclusion of the pseudoaneurysm with covered Stents is a useful alternative, with similar results as with surgical reparation. Even though, the risk of thrombosis is a factor that should be vigilated and prevented.


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