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Semin intervent Radiol 2007; 24(3): 307-311
DOI: 10.1055/s-2007-985740
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Acute Compartment Syndrome Related to Stent-Graft Exclusion of a Popliteal Arterial Aneurysm

Michael J. Miller1  Jr. , Michael J. Stirling2 , Young H. Chang1 , Tony P. Smith1
  • 1Department of Radiology, Duke University Medical Center, Durham, North Carolina
  • 2Department of Surgery, Duke University Medical Center, Durham, North Carolina
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Publication History

Publication Date:
03 September 2007 (online)

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ABSTRACT

The purpose of this morbidity and mortality case report is to discuss a characteristic of the Viabahn (W.L. Gore, Newark, DE) stent-graft deployment as well as a complication related to wire trauma during endovascular exclusion of a popliteal artery aneurysm. We encountered a phenomenon not described in the literature during deployment of a Viabahn stent graft. This necessitated further wire purchase, which resulted in perforation of a branch vessel within the calf. The rapid recognition of the clinical findings and prompt diagnosis of compartment syndrome was essential to early intervention, which prevented further complication and permanent sequelae.

KEYWORDS

Popliteal aneurysm - stent graft - compartment syndrome - fasciotomy

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Michael J Miller Jr.M.D. 

Department of Radiology, Duke University Medical Center, Duke North Hospital

Room 1502, Durham, NC 27710

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