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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

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