Combined Endovascular Exclusion with Percutaneous Sac Aspiration and Thrombin Injection in the Management of Popliteal Artery Aneurysm

Mário Moreira; Joana Moreira; Gabriel Anacleto; Luís Antunes

doi:10.1016/j.avsg.2020.01.084

Combined Endovascular Exclusion with Percutaneous Sac Aspiration and Thrombin Injection in the Management of Popliteal Artery Aneurysm

Ann Vasc Surg. 2020 Jul:66:662-664. doi: 10.1016/j.avsg.2020.01.084. Epub 2020 Feb 1.

Authors

Mário Moreira¹, Joana Moreira², Gabriel Anacleto², Luís Antunes²

Affiliations

¹ Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. Electronic address: mariodpmoreira@gmail.com.
² Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

PMID: 32018025
DOI: 10.1016/j.avsg.2020.01.084

Abstract

Background: Symptomatic popliteal artery aneurysms (PAAs) can be managed by open surgery or endovascular exclusion.

Methods: The authors describe a case of a 68-mm PAA causing compressive symptoms and managed by endovascular exclusion combined with percutaneous sac decompression.

Results: Endovascular exclusion allows sac pressure reduction. Additional percutaneous sac aspiration and thrombin injection promote sac shrinking and avoid persistent collateral flow.

Conclusions: In challenging cases, matching different techniques can be helpful.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm / diagnostic imaging
Aneurysm / therapy*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Combined Modality Therapy
Endovascular Procedures* / instrumentation
Female
Humans
Injections, Intra-Arterial
Popliteal Artery / diagnostic imaging
Popliteal Artery / surgery*
Stents
Suction
Thrombin / administration & dosage*
Treatment Outcome

Substances

Thrombin