Popliteal artery pseudoaneurysm successfully treated with amplatzer vascular plug
- Author:
Liew Kah Weng
;
Benjamin Leong Dak Keung
- Publication Type:Case Reports
- Keywords:
Pseudoaneurysm;
popliteal artery;
acupuncture;
endovascular intervention;
Amplatzer
- From:
The Medical Journal of Malaysia
2016;71(5):302-303
- CountryMalaysia
- Language:English
-
Abstract:
Popliteal artery pseudoaneurysm is uncommon. They
usually result from penetrating or blunt trauma, arterial
reconstructive surgery, invasive diagnostic or surgical
orthopedic procedures. They can cause arterial thrombosis
and limb ischeamia. We report a 53 year old Chinese
gentleman with popliteal artery pseudoaneurysm who
presented with right lower limb numbness and paralysis in
toes extension. He gave a history of acupuncture treatment
around the popliteal fossa of the affected limb. Clinical
examination revealed a pulsatile mass in the popliteal fossa.
Computed tomography angiography showed a large, 5 cm,
pseudoaneurysm arising from the popliteal artery. A
diagnostic angiogram was performed and revealed that
there is no run off from the popliteal artery and the tibial
vessels were reconstructed from collaterals. Endovascular
intervention was carried out with an Amplatzer Vascular
Plug to embolise the pseudoaneurysm. The
pseudoaneurysm was successfully excluded and post-op
follow up revealed no more pulsatile mass and improving
lower limb function. To the best of our knowledge this is first
reported case of pseudoaneurysm of the popliteal artery
secondary to acupuncture in Malaysia.
- Full text:W020170208390526949935.pdf
