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Popliteal artery pseudoaneurysm successfully treated with amplatzer vascular plug
1Hospital Queen Elizabeth, General Surgery Department, Vascular Unit, Kota Kinabalu, Sabah, Malaysia. Weng55@Hotmail.Com.
The Medical Journal of Malaysia
|January 9, 2017
Summary
A rare popliteal artery pseudoaneurysm, potentially caused by acupuncture, was successfully treated with endovascular embolization. This case highlights a novel cause for this vascular condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Popliteal artery pseudoaneurysms are uncommon but can lead to serious complications like limb ischemia.
- Etiologies typically include trauma, surgery, or invasive orthopedic procedures.
Observation:
- A 53-year-old male presented with numbness and paralysis in his toes, with a history of acupuncture treatment near the affected popliteal fossa.
- Clinical examination revealed a pulsatile mass, and CT angiography confirmed a large 5 cm pseudoaneurysm of the popliteal artery.
Findings:
- Diagnostic angiography showed no distal runoff, with tibial vessels supplied by collaterals.
- Endovascular intervention using an Amplatzer Vascular Plug successfully excluded the pseudoaneurysm.
Implications:
- This case represents the first reported instance of a popliteal artery pseudoaneurysm secondary to acupuncture in Malaysia.
- Successful endovascular management restored lower limb function and resolved the pulsatile mass, suggesting a viable treatment option for similar cases.
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