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POPLITEO_ANEURYSM_Case 005/06 |
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ANEURYSM POPLITEO
ENDOVASCULAR PROCEDURE
Case 005/06
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Man of 49 years that begins a month ago with symptoms of intermittent yielding to the few meters. Physical exam shows the absence of pulse poplíteo and distal in right lower member. The arteriografía shows an occlusion of the right artery poplítea with distal revascularization of it and permeability of the distal trunks.
Due to these finds tomography is carried out which shows evidence of the presence of an trombosado aneurysm of the artery poplítea as cause of the occlusion (to circulate white).
It is then decided to carry out the endovascular procedure. After recanalizing the occluded segment, an auto expandable stent of ePTFE Viabhan (W.L Gore, Flagstaff, AZ) of 6 mm x 10cmstent is placed , managing to exclude the aneurysm at the same time that it recovers the permeability of the occluded segment .
The patient left hospital the following day, with disappearance of the symptoms. |
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| PRE-PROCEDURE |
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In the figure 1,2 and 3 we observe the angiography of both lower members in which an occlusion of the poplítea artery is visualized right (arrow), with revascularization of its lower portion through collaterals.
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| PROCEDURE |
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The figure 4 corresponds to the selective injection of the right femoral artery with precise delimitation of the occluded poplíteo segment . The figure 5 shows the endoprótesis once freed. The figure 6 corresponds to the angiography of control post enlargement of the endoprotesis with a balloon of angioplastia.
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| POST-PROCEDURE |
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The figures 7, 8 and 9 correspond to the angiographic controls post procedure which show the permeability and good calibrate of the artery poplítea and of the distal trunkt. |
| CONCLUSIONS |
| The danger of the poplíteos aneurysms , besides its slow growth, is its tendency to the thrombosis and to the embolization. When this occurs a sharp isquemia of the lower extremity affected is produced, with immediate risk of loss of the leg, if a urgent treatment is not carried out. The endovascular therapy is a good alternative of management in the patient with aneurysm of the poplítea artery , reducing the morbidity and hospital stay.
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Pre Treatment
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Post Treatment
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| UTILIZED MATERIAL |
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Links 
Man of 49 years of age who begins a month ago with symptoms of intermittent yielding to the few meters. After physical exam emphasizes the absence of poplíteo pulse and distant in right lower member. 
Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness.
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