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Successful Interventional Treatment of a Huge Pseudoaneurysm of the Popliteal Artery Caused by a Percutaneous Balloon Angioplasty Complication: A Case Report

경피적 풍선성형술의 합병증으로 발생한 슬와동맥 거대 가성동맥류의 성공적인 인터벤션 치료: 증례 보고

  • Hyunmin Kim (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Seung Yeon Noh (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Se Hwan Kwon (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Hyun-Min Ko (Department of Surgery, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Hyung Joon Ahn (Department of Surgery, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Joo Hyeong Oh (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital)
  • 김현민 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 노승연 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 권세환 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 고현민 (경희대학교 의과대학 경희대학교병원 외과) ;
  • 안형준 (경희대학교 의과대학 경희대학교병원 외과) ;
  • 오주형 (경희대학교 의과대학 경희대학교병원 영상의학과)
  • Received : 2022.09.07
  • Accepted : 2022.12.05
  • Published : 2023.09.01

Abstract

Pseudoaneurysms are among the most serious complications of percutaneous balloon angioplasty. Although pseudoaneurysm rupture rarely happens, when it does, the result can be fatal; thus, early detection and management are crucial. In this report, we disclose the case of a 34-year-old male with end-stage renal disease who presented with a huge symptomatic pseudoaneurysm of the left popliteal artery, following percutaneous balloon angioplasty three months prior. The pseudoaneurysm was successfully excluded using interventional treatment. The patient recovered well, and the follow-up was uneventful, with excellent patency of the covered stent.

가성동맥류는 경피적 풍선성형술의 가장 심각한 합병증 중의 하나이다. 가성동맥류의 파열은 드물게 발생하지만, 발생할 경우 환자의 죽음을 초래할 수 있기 때문이 조기 발견과 적절한 치료가 매우 중요하다. 저자들은 3개월 전 실시한 경피적 풍선성형술의 합병증으로 발생된 증상을 동반한 좌측 슬와동맥 거대 가성동맥류를 가진 34세 말기신부전 남자 환자의 증례를 보고한다. 가성동맥류는 인터벤션 치료를 통하여 성공적으로 치료되었고, 환자는 추적기간 동안 다른 합병증 없이 잘 회복되었다.

Keywords

References

  1. Min J, Park SW, Hwang JH, Kwon YW, Shin DH. Management of complications during below-the-knee endovascular treatment: a technical note. Korean J Radiol 2020;21:935-945 https://doi.org/10.3348/kjr.2019.0743
  2. Labropoulos N, Giannoukas AD, Kutoubi AA, Nicolaides AN. Pseudoaneurysm of superficial femoral artery after balloon angioplasty: report of two cases. Vasc Surg 1996;30:255-259 https://doi.org/10.1177/153857449603000317
  3. Oliveira GDP, Guillaumon AT, Brito IBD, Lima JMT, Benvindo SC, Santos LGD. Idiopathic popliteal artery pseudoaneurysm: emergency diagnosis and treatment. J Vasc Bras 2014;13:244-248 https://doi.org/10.1590/jvb.2014.032
  4. Reynolds A, Sandstrom A, Jha PK. Totally endovascular management of popliteal artery occlusion and pseudoaneurysm formation after total knee replacement. Ann Vasc Surg 2017;38:316.e13-316.e16 https://doi.org/10.1016/j.avsg.2016.07.027
  5. Katsogridakis E, Patel H, Serracino-Inglott F, Chalmers N. Popliteal artery pseudoaneurysm treated with covered stent placement and thrombolysis: a case report. J Surg Case Rep 2015;2015:rjv082
  6. Raherinantenaina F, Rajaonanahary TM, Rakoto Ratsimba HN.[Management of popliteal artery pseudoaneurysms as a result of limb trauma and orthopedic surgery or associated with osteochondromas]. Ann Cardiol Angeiol (Paris) 2016;65:265-274. French https://doi.org/10.1016/j.ancard.2016.04.023
  7. dos Santos Nogueira AC, Salgado CG, dos Santos Nogueira FB, do Amaral SI, Rabischoffsky A. Pseudoaneurysms: when and how to treat them. Arq Bras Cardiol: Imagem Cardiovasc 2013;26:289-230
  8. Marin J, Schwartz E, Villablanca M, Olguin R, Ceroni E, Marin C. Terapia endovascular en trauma vascular periferico: experiencia inicial. Revista Chilena de Cirugia 2016;68:310-315 https://doi.org/10.1016/j.rchic.2015.12.005
  9. Domingues RB, Araujo AC, van Bellen B. Endovascular treatment of popliteal artery aneurysm. Early and midterm results. Rev Col Bras Cir 2015;42:37-42 https://doi.org/10.1590/0100-69912015001008