Endovascular stent graft for post-traumatic superficial femoral artery pseudoaneurysms with arteriovenous fistula: 6 months follow-up of 2 cases

Abstract

Pseudoaneurysms are common vascular abnormalities due to disruption of the vessel wall. Pseudoaneurysm with arteriovenous fistula is a rare presentation. Complications associated with them develop unpredictably and carry a high mortality rate. Traditionally pseudoaneurysms have been treated surgically. However, with the advent of new interventional techniques, management using endovascular approach have gained popularity in treating pseudoaneurysms. Here, we present two cases of large pseudoaneurysms with arteriovenous fistula treated by percutaneous stent graft. Present studies on pseudoaneurysms are all either iatrogenic or secondary to nephrologic dialysis treatment and only few present studies exist describing such large post-traumatic femoral pseudoaneurysms with arteriovenous fistulas were treated successfully by stent grafting through femoral approach, with good patency at 6 months follow up.