Percutaneous deployment of a polytetrafluoroethylene (ptfe) graft to repair a pseudoaneurysm produced by a graft to graft anastomotic dehiscence

Abstract

Arterial injuries, creating a pseudonauerysm or arteriovenous fistula have, in the main, been managed through surgical ligation of the involved segments, arterial reconstruction, embolization of the involved artery, and percutaneous placement of a stented graft [Marin ML, et al: J Vasc Surg 18:299-302, 1993]. This communication describes the percutaneous repair of a large popliteal pseudoaneurysm, created by dehiscence of the anastomotic suture line of a composite polytetrafluoroethylene (PTFE) femoropopliteal and a popliteal-posterior tibial graft using a PTFE graft without stent assistance.