2021 Volume 30 Issue 5 Pages 283-286
A 75-year-old woman, who had underwent total knee replacement for osteoarthritis of the knee, and percutaneous transluminal angioplasty for arteriosclerosis obliterans, had popliteal pseudoaneurysm (25 mm×29mm in diameter). We conducted endovascular treatment (EVT) for this pseudoaneurysm in consideration of her left lower limb strongly swollen after orthopedics surgery, high-risk patient with severe obesity, diabetes, hypertension, etc. and the risk of open repair regarding the difficulty for approach to arteries. The device of EVT was VIABAHN stent graft (W. L. Gore & Associates, Flagstaff, AZ, USA) , which was composed of expanded polytetrafluoroethylene graft and self-expanding nitinol stent, could exclude the popliteal pseudoaneurysm. EVT with VIABAHN stent graft is an excellent alternative of open repair for patients with PAA with obesity and multiple complications without any fear of difficulty for approach to arteries and post surgical complications on open repair.
