INTRODUCTION: Endovascular treatment of aneurysms in the superficial femoral artery (SFA) and popliteal segments is a suggested alternative to open surgical repair. Careful selection of patients for endovascular treatment of SFA aneurysms is mandatory. PRESENTATION OF CASE: A complication due to endovascular stent-graft treatment in an 80-year old male with a 6 cm aneurysm in the SFA is presented. Hygroma developed after a partially unintended extravascular placed stent-graft. Two consecutive explorations resulted in a femoro-popliteal Polytetrafluoro-ethylene (PTFE) by-pass graft as the final solution. DISCUSSION: Several explanations for the patient's complications are suggested. CONCLUSION: A primary femoral-femoral/popliteal by-pass might be the best solution in SFA aneurysms due to risk of stent complications.
INTRODUCTION: Endovascular treatment of aneurysms in the superficial femoral artery (SFA) and popliteal segments is a suggested alternative to open surgical repair. Careful selection of patients for endovascular treatment of SFAaneurysms is mandatory. PRESENTATION OF CASE: A complication due to endovascular stent-graft treatment in an 80-year old male with a 6 cm aneurysm in the SFA is presented. Hygroma developed after a partially unintended extravascular placed stent-graft. Two consecutive explorations resulted in a femoro-popliteal Polytetrafluoro-ethylene (PTFE) by-pass graft as the final solution. DISCUSSION: Several explanations for the patient's complications are suggested. CONCLUSION: A primary femoral-femoral/popliteal by-pass might be the best solution in SFAaneurysms due to risk of stent complications.
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