Pseudoaneurysm Of Posterior Tibial Artery Research Articles

Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture

Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture

Spontaneous pseudoaneurysm of posterior tibial artery with deep vein thrombosis and compartment syndrome

Posterior tibial artery (PTA) aneurysms are rare and associated with trauma and orthopedic interventions. We present a rare case of spontaneous pseudoaneurysm of the PTA, complicated with deep vein thrombosis and compartment syndrome. The patient was managed with popliteal to PTA bypass using contralateral limb reversed saphenous vein graft, and yielded good results.

IP143. Massive Iatrogenic Posterior Tibial Artery Pseudoaneurysm After Total Ankle Reconstruction

IP143. Massive Iatrogenic Posterior Tibial Artery Pseudoaneurysm After Total Ankle Reconstruction

Posterior Tibial Artery Pseudoaneurysm with Arteriovenous Fistula: Impact of Duplex Ultrasound on Diagnosis and Treatment

Post traumatic peripheral vascular injuries resulting in pseudoaneurysm (PSA) or arterial venous fistula (AVF) are rarely reported and may occur independently, or less commonly, concomitantly, following lower extremity fractures, penetrating or blunt trauma, and sports-related or orthopedic injuries. 1 Concomitant traumatic PSA and AVF requires accurate imaging and evaluation of hemodynamics for accurate diagnosis and treatment. Modalities for PSA repair include ultrasound-guided occlusion (thrombin injection), endovascular repair (coils, stents), and open surgical procedures (repair, ligation). A coexisting AVF can potentially impact the efficacy and safety of these options. This case demonstrates the important role of duplex ultrasound in the diagnosis and treatment algorithm of traumatic PSA.

Pseudoaneurysm of Posterior Tibial Artery Management: Case Report and Review of Literature

Pseudoaneurysm (PA) of posterior tibial artery (PTA) is not very common and that of middle one-third of PTA is rare. Endovascular treatment of symptomatic PAs has become a viable less invasive option compared to open repair. In this case report, a 64-year-old gentleman came with acute thrombosis of superficial femoral artery which was treated successfully by embolectomy. He later presented to us with increasing pain over the calf region which on duplex scan revealed us a PA of middle one-third of PTA. It was successfully managed by endovascular stenting without compromising the distal blood flow. An extensive review of the literature has also been performed. J Curr Surg. 2015;5(4):209-212 doi: http://dx.doi.org/10.14740/jcs279w

Traumatic Pseudoaneurysm of the Posterior Tibial Artery Treated by Endovascular Coil Embolization

Pseudoaneurysms of the posterior tibial artery are rare, but a high index of suspicion should be maintained in evaluating patients who present with a painful swelling after arterial trauma. We report a case of a posterior tibial artery pseudoaneurysm in a young patient sustained from a laceration and associated profuse arterial bleeding. Because of the risk of rupture and the presence of an infection and high venous flow, an embolization of the aneurysm proximally and distally was carried out after verifying that distal collateral circulation ensured foot vascularization. Endovascular treatment of a pseudoaneurysm seems to be a safe therapeutic and noninvasive choice, particularly in young patients in whom the presence of collaterals guarantees distal vascularization and in whom the procedure can be safely performed in the presence of a superficial wound infection.

Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery Pseudoaneurysm

Accidental penetrating injury of the leg is common in the emergency room setting, and some patients have no bone injury on radiographs. We report a delayed sequel of vascular injury to the posterior tibial artery, following penetrating injury to the leg, which was later additionally complicated by pathological fracture of the proximal part of the fibula. Early diagnosis is important to provide timely treatment. The case of this patient illustrates that the delayed sequel of vascular injury may be confused clinically and on radiographs with a soft-tissue neoplasm. The patient was informed that data concerning the case would be submitted for publication, and he consented. A thirty-year-old man sustained a penetrating wound to the lateral aspect of the proximal part of the right leg fifteen months before presenting to our institution. After a radiograph showed normal findings, he was diagnosed as having a simple penetrating wound and was treated at a primary health center. He subsequently developed constant dull pain and mild swelling over the proximal part of the leg. The swelling and pain gradually increased. When the pain began to interfere with his daily activities, he presented to a private tertiary-care hospital. The radiographic provisional diagnosis was soft-tissue neoplasm. For further evaluation, fine-needle aspiration cytology, magnetic resonance imaging, and a radionucleotide scan were recommended. For economic reasons, he was unable to obtain these studies. He next presented to us with leg swelling and severe pain that interfered with his sleep and daily activities fifteen months after the injury. Clinical examination revealed a diffuse, tender 8 × 10-cm mass on the posterolateral aspect of the proximal part of the right leg. The overlying skin was warm and shiny. The mass was fixed with variable consistency from soft to firm. There was no palpable or …

Complications of bone tumors after multimodal therapy

Purpose To define and compare the complications of bone tumors after resection, extracorporeal irradiation and re-implantation, with or without radiotherapy. Materials and methods Eighty patients (40 males and 40 females, ages 4–77 years) with 61 malignant and 19 benign bone tumors were evaluated for local and distant complications after treatment. Two groups of patients were studied: (1) 53 patients had resection without (43 patients) or with external beam radiotherapy (RadRx) (10 patients) and (2) 27 patients underwent extracorporeal irradiation and re-implantation without (22 patients) or with RadRx (5 patients). Patient follow-up varied from 1 month to 13.63 years with mean follow-up of 4.7 years. Imaging studies included bone and chest radiography, spin echo T1- and T2-weighted (or STIR) magnetic resonance imaging (MRI), dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), computed tomography (CT) for thoracic and abdominopelvic metastases and 3-phase technetium-99m-labeled-methylene-diphosphonate (Tc99m MDP) scintigraphy for bone metastases. Results DCE-MRI differentiated the rapidly enhancing recurrences, residual tumors and metastases from the slowly enhancing inflammation, and the non-enhancing seromas and fibrosis. Recurrences, metastases (mainly to lung and bone), and seromas were greater than twice as frequent in patients after resection than after ECCRI. Although 11.3% of post-resection patients had residual tumor, no ECRRI-treated patient had residual tumor. In contrast, after ECRRI, infection was almost three times as frequent and aseptic loosening twice as frequent as compared with the post-resection patients. Bones treated with RadRx and/or ECRRI showed increased prevalence of fractures and osteoporosis. In addition, muscle inflammation was more common in the externally irradiated patient as compared with the patient who did not receive this therapy. However, another soft tissue complication, heterotopic ossification, was rare in the patient after RadRx, but 25.6% of patients after resection and 40.9% after ECRRI showed heterotopic ossification. Unusual complications after resection or ECRRI involved adjacent nerves with partial denervation, amputation neuroma, or entrapment (secondary to recurrence or fibrosis) after resection or ECRRI with or without RadRx. One patient developed a posterior tibial artery pseudoaneurysm after ECRRI. Conclusions Follow-up of patients with benign and malignant bone tumors demonstrated the efficacy of DCE-MRI for distinguishing rapidly enhancing viable tumor from the slowly enhancing or non-enhancing benign processes after different therapies. Although recurrences, residual tumors, metastases and seromas were more common after resection, fractures, osteoporosis, infection, and muscular atrophy predominated in the ECRRI-treated patient. RadRx further predisposed post-resection and post-ECRRI patients to develop fractures, osteoporosis and infection and was the major cause of persistent muscle inflammation at MRI. Because complications can evolve and resolve years after treatment, the patients with bone tumors, particularly sarcomas, must receive life-time multimodal imaging for maximal diagnosis and treatment.

An unusual presentation of Ehlers–Danlos syndrome vascular type with deep vein thrombosis: A case for multidisciplinary management

Ehlers-Danlos syndrome (EDS) vascular type typically presents with significant vascular complications such as rupture of blood vessels, gravid uterus, or intestinal perforation. We report on a 24-year-old female that presents with deep vein thrombosis found to be due to compression by a large posterior tibial artery pseudoaneurysm which ultimately leads to the patient's diagnosis. This case highlights the need for a multidisciplinary approach involving vascular surgery, internal medicine, genetics, and other health care providers for patients with vascular type EDS.

Posterior Tibial Artery Pseudoaneurysm Identified Subsequent to Surgical Wound Dehiscence

The development of a pseudoaneurysm of the posterior tibial artery is a rare event. In this article, we describe the case of a 63-year-old female with rheumatoid arthritis, who initially presented with a symptomatic subcutaneous nodule localized to the medial aspect of the right ankle. After excision of the subcutaneous nodule, she failed to heal the surgical wound and, eventually, the pseudoaneurysm of the posterior tibial artery was identified. It was not until after the posterior tibial artery was ligated and the pseudoaneurysm excised, that the wound finally healed. 4.

Distal posterior tibial artery pseudoaneurysm after fracture calcaneous

Here we report a case of pseudoaneurysm of distal posterior tibial artery following closed fracture of calcaneous. Association of pseudoaneurysm of posterior tibial artery with fracture of calcaneous is extremely uncommon. It is always suggested that pseudoaneurysm be treated by reconstruction, but here we present the case treated by ligation, obliteration and excision as it was situated distally and the plantar arch circulation was maintained. The purpose of this case report is to bring attention to this complication of vascular trauma, which may cause delayed symptoms long time after the injury as well as the rare incidence of posterior tibial artery involvement with fracture calcaneous.

Delayed onset tibial nerve axonotmesis and posterior tibial artery pseudoaneurysm caused by tibial diaphysis fracture

Duringafootballgame,a20-year-oldmansustainedaclosed rightoblique fractureatthejunctionofthemiddle and distal third of the tibia and fibula shaftswith no neurovascular deficit (Fig. 1a and b). Heunderwent intramedullary nailing of his right tibia(Trigen IM nail, Smith & Nephew Orthopaedics).Closed reduction and instrumentation was achievedwithout penetrating the surrounding soft tissues(Fig. 2).Routine subcutaneous Dalteparin 2500 units wasadministered daily as thromboprophylaxis, andthere were no signs of any neurovascular compro-miseintheimmediatepostoperativeperiod.Hewasdischarged from hospital after 3 days.On day 11, his right calf was 3 cm more swollenthan the left. A venous Doppler was performedrevealing no evidence of deep vein thrombosis(DVT).On day 19, the swelling worsened and he devel-oped movement induced neuralgic pain and anaes-thesia along the medial aspect and sole of his rightfoot. A repeat venous Doppler examination wasperformed to the level of the venous trifurcation,revealing no evidence of DVT.On day 29, he was admitted complaining ofsevere pain and paraesthesia of his right foot andankle. He had loss of sensation over the distributionof his right medial plantar nerve and was referred