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Iatrogenic popliteal artery pseudoaneurysm: A case report
Iraj Nazari1, Mohammad Amin Zargar1, Ashkan Nazari2
1Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
International Journal of Surgery Case Reports
|July 25, 2024
Summary
This case report details the successful endovascular coil embolization of a popliteal artery pseudoaneurysm (PAP) in a patient post-femoropopliteal bypass. This minimally invasive technique effectively treated the rare vascular condition, preventing complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Popliteal artery pseudoaneurysm (PAP) involves rupture of the popliteal artery wall, often due to iatrogenic causes.
- PAP is a rare condition, frequently presenting as a post-surgical complication.
Observation:
- A 31-year-old patient presented with a popliteal mass three months after femoropopliteal bypass surgery for a knee gunshot injury.
- The patient experienced challenges including bleeding, hematoma, potential limb ischemia, and graft damage risk.
Findings:
- Endovascular coil embolization was successfully employed for diagnosis and management.
- This approach led to complete remission of the popliteal artery pseudoaneurysm.
Implications:
- Endovascular therapy offers a viable treatment option for managing popliteal artery pseudoaneurysms, especially when open surgery or compression is high-risk.
- Careful patient selection is crucial for successful endovascular management of PAP.
