Coronary Stent for Treatment of Iatrogenic Peroneal Artery Pseudoaneurysm and Arteriovenous Fistula after Orthopedic Implants Removal Surgery

Roberta M, Massimiliano M, Marco M, Martina Maria G, Alessandro R and Francesco S

Department of Vascular Surgery, IRCCS MultiMedica Hospital, Sesto San Giovanni, Italy
Vascular Surgery and Transplant Unit, University of Catania, Italy
Kore University of Enna, Italy

^*Correspondance to: Francesco Setacci 

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Abstract:

Background: Few case reports describe development of PSAs after removal of orthopedic implants. To date, no specific guidelines exist for peripheral PSAs management and different surgical or endovascular solutions have been proposed. Case Report: We report a case of a 70-year-old woman who developed a delayed clinical evident pseudoaneurysm of the peroneal artery 2 months after orthopedic surgery to remove implants (plate and screws) prior placed to reduce a right peroneal fracture. At physical examination a pulsatile mass in the anterior compartment, just above the external malleolus, was present, and Duplex Ultrasound Scan (DUS) and computed tomography angiography showed the presence of a peroneal artery pseudoaneurysm with concomitant arteriovenous fistula. An endovascular treatment was performed under local anesthesia via anterograde femoral percutaneous access. Pseudoaneurysm was excluded implanting one coronary stent. Postoperative course was uneventful, and the patient was discharged on the first postoperative day under antiplatelet therapy. Pre-discharge DUS revealed complete pseudoaneurysm and arteriovenous fistula exclusion. Conclusion: In conclusion, endovascular treatment of peroneal artery pseudoaneurysm using coronary stent seems to be a feasible option.

Keywords:

Iatrogenic pseudoaneurysms; Orthopedic surgery; Peroneal artery; Coronary stent

Cite the Article:

Roberta M, Massimiliano M, Marco M, Martina Maria G, Alessandro R, Francesco S. Coronary Stent for Treatment of Iatrogenic Peroneal Artery Pseudoaneurysm and Arteriovenous Fistula after Orthopedic Implants Removal Surgery. Clin Case Rep Int. 2023; 7: 1632.