Open AccessSuccessful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
Author(s) -
Koroki Takatoshi,
Kuroki Takuya,
Abe Tomohiro,
Furukoji Eiji,
Ochiai Hidenobu
Publication year - 2021
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.639
Subject(s) - medicine , pseudoaneurysm , stent , digital subtraction angiography , radiology , surgery , blunt trauma , hematoma , angiography , extravasation , blunt , computed tomography angiography , penetrating trauma , femoral artery , aneurysm , immunology
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.