PMC5576153_01
CTA indicating the 70 mm left femoral pseudoaneurysm.
gr1.jpg
PMC5576153_01_gr1.jpg
fig1
Computed tomography angiography (CTA) showed a large (70 mm) pseudoaneurysm (psA) arising from the left groin anastomosis (Fig. 1).
(A) Angiogram indicating the pseudoaneurysm and the outflow via the DFA. (B) Screenshot of the four endoprostheses after deployment. (C) Completion angiogram indicates successful pseudoaneurysm exclusion and PFA outflow with proximal branch preservation (arrow = transition zone from CFA to DFA).
gr2.jpg
PMC5576153_01_gr2.jpg
fig2
Associates Inc.; 9 x 50 mm, n = 1, 10 x 50 mm, n = 1, 11 x 50 mm, n = 1, 13 x 50 mm, n = 1) were deployed building from distal to proximal, commencing in the proximal DFA, bridging across the common femoral artery (CFA) to seal proximally within the graft limb (Fig. 2A and B). A 2 cm distal landing zone was achieved without sacrificing significant DFA branches, and all overlaps were kept at a minimum of 2 cm, with successful exclusion of the psA (Fig. 2C).
Post-procedure CTA (right anterior oblique perspective) indicating good position of the endoprostheses with no endoleaks noted.
gr3.jpg
PMC5576153_01_gr3.jpg
fig3
The patient was discharged home the following day on lifelong dual antiplatelet therapy and post-procedure CTA has shown that the false aneurysm remains excluded (Fig. 3).