Repair of a combined femoral pseudoaneurysm and arteriovenous fistula using a covered stent graft

Aaron S. Kendrick, Larry Richard Sprouse

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Our purpose was to demonstrate clinical efficacy of covered stent use in the peripheral vasculature. A 68-year-old man was transferred from an outlying hospital for evaluation and treatment of a pulsatile mass in his right groin after cardiac catheterization. Imaging with duplex ultrasound and diagnostic arteriogram demonstrated a 6-cm pseudoaneurysm (PSA) of the right superficial femoral artery (SFA) and an arteriovenous fistula (AVF) of the SFA and the profunda vein. Using a covered stent extending from the proximal SFA across the origins of the AVF and PSA, complete exclusion was attained. Follow-up ultrasound at 6 weeks revealed a patent stent, no AVF, and thrombosis of the PSA. Endovascular treatment of peripheral lesions (AVF/PSA) in an elective to semi-elective setting offers patients a safe, less invasive treatment option to consider over traditional open surgery. Consequently, a formidable reduction in incision length, wound infection, and postoperative immobility can be expected.

Original languageEnglish (US)
Pages (from-to)227-229
Number of pages3
JournalAmerican Surgeon
Volume73
Issue number3
StatePublished - Mar 2007

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False Aneurysm
Arteriovenous Fistula
Thigh
Stents
Femoral Artery
Transplants
Surgical Wound Infection
Groin
Cardiac Catheterization
Veins
Ultrasonography
Thrombosis
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Repair of a combined femoral pseudoaneurysm and arteriovenous fistula using a covered stent graft. / Kendrick, Aaron S.; Sprouse, Larry Richard.

In: American Surgeon, Vol. 73, No. 3, 03.2007, p. 227-229.

Research output: Contribution to journalArticle

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