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Iatrogenic popliteal artery pseudoaneurysm: A case report.


ABSTRACT:

Background

Popliteal artery pseudoaneurysm is a state of vascular wall rupture in the popliteal artery. It is generally a rare situation and the most common etiologic factor is iatrogenic causes.

Case presentation

This case report presents a successful diagnosis and management of a 31-year-old patient who was presented with a mass behind the knee, three months after femoropopliteal bypass for the treatment of a gunshot to the knee. An endovascular approach using coils was utilized for the patient, which led to complete remission for the patient.

Discussion

The current patient had two primary therapeutic challenges: bleeding and hematoma growth, clot development causing blood flow restriction, and limb ischemia. Pseudoaneurysm also caused internal inflammation, which increased the risk of thrombosis and bypass graft damage during open surgery. Due to the risk of recurrence and graft damage, ultrasound-guided compression was not possible. Thus, endovascular therapy was preferred.

Conclusion

The endovascular approach using coils is an option for the management of PAP. However, the endovascular approach should be considered carefully according to the patient's status.

SUBMITTER: Nazari I 

PROVIDER: S-EPMC11320411 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature

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Iatrogenic popliteal artery pseudoaneurysm: A case report.

Nazari Iraj I   Zargar Mohammad Amin MA   Nazari Ashkan A   Alavi Seyed Mohammad Amin SMA  

International journal of surgery case reports 20240705


<h4>Background</h4>Popliteal artery pseudoaneurysm is a state of vascular wall rupture in the popliteal artery. It is generally a rare situation and the most common etiologic factor is iatrogenic causes.<h4>Case presentation</h4>This case report presents a successful diagnosis and management of a 31-year-old patient who was presented with a mass behind the knee, three months after femoropopliteal bypass for the treatment of a gunshot to the knee. An endovascular approach using coils was utilized  ...[more]

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