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
REFERENCES
-
1
Tielliu I F, Verhoeven E L, Zeebregts C J.
Endovascular management of popliteal artery aneurysms: results of a prospective cohort study.
J Vasc Surg.
2005;
41
561-567
-
2
Siauw R, Koh E H, Walker S R.
Endovascular repair of popliteal artery aneurysms: techniques, current evidence, and recent experience.
ANZ J Surg.
2006;
76
505-511
-
3
Witzke C F, Martin-Herrero F, Clarke S C, Pomerantzev E, Palacios I F.
The changing pattern of coronary perforation during percutaneous coronary intervention in the new device era.
J Invasive Cardiol.
2004;
16
257-301
-
4 Nypaver T J. Fasciotomy in vascular trauma and compartment syndrome. In: Ernst CB, Stanley JC Current Therapy in Vascular Surgery. 4th ed. St Louis, MO; Mosby 2001: 624-628
-
5
Whitesides T E, Haney T C, Morimoto K et al..
Tissue pressure measurements as a determinant for the need for fasciotomy.
Clin Orthop Relat Res.
1975;
113
43-51
-
6
Bourne R B, Rorabeck C H.
Compartment syndromes of the lower leg.
Clin Orthop Relat Res.
1989;
240
97-104
-
7 Watson J C, Johansen K H. Compartment syndrome: pathophysiology, recognition, and management. In: Rutherford RB Vascular Surgery. 6th ed. New York; Elsevier Saunders 2005: 1058-1065
Michael J Miller Jr.M.D.
Department of Radiology, Duke University Medical Center, Duke North Hospital
Room 1502, Durham, NC 27710
