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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1781449
Case Report

Spontaneous Rupture of Superficial Femoral Artery Treated Endovascularly Using CO2 Angiography

Rasmiranjan Padhi 
1   Department of Interventional Radiology, GKNM Hospital, Coimbatore, Tamil Nadu, India
,
Jagadeesan Dhanasekaran 
1   Department of Interventional Radiology, GKNM Hospital, Coimbatore, Tamil Nadu, India
,
Vinoth P.
2   Department of Orthopedics, GKNM Hospital, Coimbatore, Tamil Nadu, India
› Author Affiliations Funding None.
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Abstract

Spontaneous rupture of the superficial femoral artery (SFA) is extremely rare. We report an interesting case of an elderly man presented with a history of hearing a click sound in his left lower thigh followed by sudden onset pain, swelling, and discoloration in the left lower limb while coming back from the bathroom. He was a known case of chronic kidney disease, and cirrhosis of the liver with moderate left ventricular (LV) dysfunction. We treated the ruptured SFA using overlapping stent grafts with CO2 angiography. The pseudoaneurysm got thrombosed. The pain and swelling of the left lower limb gradually subsided. The patient went home walking.

Keywords

spontaneous rupture of superficial femoral artery - stent graft - carbon dioxide angiography


Publication History

Article published online:
29 February 2024

© 2024. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Cadier MA, Watkin G, Pope FM, Marston A. Spontaneous rupture of the femoral arteries. J R Soc Med 1993; 86 (01) 54
    PubMedGoogle Scholar
  • 2 Goh BKP, Chen CYY, Hoe MNY. Bilateral spontaneous rupture of the muscular branch of the superficial femoral artery with pseudoaneurysm formation. Ann Vasc Surg 2004; 18 (06) 736-739
    CrossrefPubMedGoogle Scholar
  • 3 Lossef SV, Gomes MN, Barth KH. Hemorrhage from spontaneous rupture of muscular branches of the superficial femoral artery. J Vasc Interv Radiol 1994; 5 (01) 147-148
    CrossrefPubMedGoogle Scholar
  • 4 Siani A, Flaishman I, Siani LM. et al. Spontaneous rupture of the superficial femoral artery treated via an endovascular approach. Tex Heart Inst J 2008; 35 (01) 66-68
    PubMedGoogle Scholar
  • 5 McCullough PA, Agrawal V, Danielewicz E, Abela GS. Accelerated atherosclerotic calcification and Monckeberg's sclerosis: a continuum of advanced vascular pathology in chronic kidney disease. Clin J Am Soc Nephrol 2008; 3 (06) 1585-1598
    CrossrefPubMedGoogle Scholar
  • 6 Xu J, Zheng Z, Yang Y. et al. Clinical evaluation of covered stents in the treatment of superficial femoral artery pseudoaneurysm in drug abusers. Mol Med Rep 2018; 17 (03) 4460-4466
    PubMedGoogle Scholar
  • 7 Wong M, O'Callaghan A, Scanlon T, Kavanagh E. Management of a superficial femoral artery pseudo aneurysm: a literature review comparing by-pass, vein patch and stenting approaches. Am J Case Rep 2011; 12: 130-133
    CrossrefPubMedGoogle Scholar
  • 8 Saini M, Mamauag MJ, Singh R. Central pontine myelinolysis: a rare presentation secondary to hyperglycaemia. Singapore Med J 2015; 56 (04) e71-e73
    CrossrefPubMedGoogle Scholar
  • 9 Diamantopoulos A, Patrone L, Santonocito S. et al. Carbon dioxide angiography during peripheral angioplasty procedures significantly reduces the risk of contrast-induced nephropathy in patients with chronic kidney disease. CVIR Endovasc 2020; 3 (01) 9
    CrossrefPubMedGoogle Scholar