Perspectives in vascular surgery and endovascular therapy
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Perspect Vasc Surg Endovasc Ther · Dec 2010
Case ReportsPseudo aneurysm of a 21 year old ePTFE femoro-femoral crossover graft: successful endovascular repair using an ePTFE lined nitinol stent graft.
With the advancement of technology and manufacturing of prosthetic grafts, non- anastomotic pseudoaneurysm arising from a graft is now uncommon. Here we report a case of non-anastomotic pseudo aneurysm occurring 21 years after implantation of ePTFE femoro-femoral crossover graft. An 80 year old female with a previous history of a femoro- femoral cross-over bypass surgery performed using a10 mm reinforced polytetrafluoroethylene graft presented with a pulsatile lump in her right groin. ⋯ The final angiographic results were excellent and showed resolution of the aneurysm with good flow through the graft and distal vessel. This type of complication is easily diagnosed by clinical examination and imaging studies, which display an aneurysm of the graft remote from the anastomosis. Percutaneous intervention with covered stent may offer an easy and safe way to treat this type of aneurysm.
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Perspect Vasc Surg Endovasc Ther · Dec 2010
Syndromes associated with the deep veins: phlegmasia cerulea dolens, May-Thurner syndrome, and nutcracker syndrome.
Although phlegmasia cerulea dolens, May-Thurner syndrome, and nutcracker syndrome are rare entities, knowledge of these syndromes associated with the deep veins is essential. This study presents current management of these disorders, including diagnostic and interventional strategies. Endovascular techniques have evolved and now play a significant role in the treatment of both phlegmasia cerulea dolens and May-Thurner syndrome. However, endovascular therapy for nutcracker syndrome remains untested.