Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma. Issue 1 (23rd March 2021)

• Record Type: Journal Article
• Authors: Koroki, Takatoshi; Kuroki, Takuya; Abe, Tomohiro; Furukoji, Eiji; Ochiai, Hidenobu
• Is Part Of: Acute medicine & surgery. Volume 8:Issue 1(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-03-23
• Subjects: Blunt injury -- endovascular treatment -- femoral artery -- stent -- trauma; Surgery -- Periodicals; Medical emergencies -- Periodicals; 617.005
• DOI: 10.1002/ams2.639
• Languages: English
• ISSNs: 2052-8817

Abstract

Abstract : Background: Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent‐graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered stent‐graft. Case Report: A 68‐year‐old man presented with traumatic lower limb injury and shock. Computed tomography angiography revealed left subtrochanteric fracture and hematoma with extravasation. Digital subtraction angiography revealed extravasation from a left SFA branch, and a pseudoaneurysm at the SFA trunk. We coil embolized the SFA branch, and treated the pseudoaneurysm with a covered stent‐graft. Computed tomography carried out 22 days later showed complete pseudoaneurysm exclusion and sufficient stent patency. Conclusion: We successfully used a covered stent‐graft to treat SFA injury due to blunt trauma. A covered stent‐graft could be effective for peripheral artery injury. Abstract : A 68‐year‐old man presented with lower limb injury and shock after a fall, and digital subtraction angiography revealed extravasation from a proximal branch of the left superficial femoral artery and a pseudoaneurysm at the superficial femoral artery trunk. We used a coil to embolize the superficial femoral arterial branch, and a covered stent graft to treat the pseudoaneurysm. A covered stent graft could be effective for peripheral artery injury; however, the long‐term complications are unclear.