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      Resolución endovascular de pseudoaneurisma poplíteo gigante Translated title: Endovascular resolution of giant popliteal pseudoaneurysm

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          Abstract

          Resumen Introducción: el pseudoaneurisma poplíteo es una entidad infrecuente y suele ser secundario a un trauma. Se presenta el caso de pseudoaneurisma poplíteo traumático. Caso clínico: hombre de 74 años con fractura de fémur hace 4 meses, manejada con implantes externos antes de la resolución definitiva. Presentó sangrado local y aumento del volumen de la extremidad inferior izquierda. El angio TAC evidenció un gran pseudoaneurisma de la arteria poplítea izquierda que se resolvió de manera endovascular con stent cubierto. Discusión: el tratamiento endovascular es una opción para la resolución del pseudoaneurisma poplíteo. El tratamiento quirúrgico abierto debe considerarse en casos de inestabilidad hemodinámica y la posible coexistencia de otras lesiones que requieran manejo inmediato.

          Translated abstract

          Abstract Introduction: popliteal pseudoaneurysm is a rare entity and is usually secondary to trauma. A case of traumatic popliteal pseudoaneurysm is presented. Case report: a 74-year-old man with a femur fracture 4 months ago, managed with external tutors prior to final resolution. He presented local bleeding and increased volume of the left lower limb. AngioTC showed a large pseudoaneurysm of the left popliteal artery. We resolve it with endovascular treatment with a covered stent. Discussion: endovascular treatment is an option for the resolution of popliteal pseudoaneurysm. Open surgical treatment should be considered in cases of hemodynamic instability and the possible coexistence of other injuries that require immediate management.

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          Postraumatic popliteal pseudoaneurysm from femoral osteochondroma: case report and review of the literature.

          Osteochondroma is the most frequent bone tumor and can be responsible for vascular complications. The case of an 14-year-old boy with a popliteal pseudoaneurysm after a blunt trauma is presented. The diagnosis and treatment of this condition is discussed, and the English-language literature is reviewed.
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            Traumatic popliteal artery pseudoaneurysms: case report and review of the literature.

            Traumatic pseudoaneurysms of the popliteal artery are an uncommon late complication of arterial injury. Although reviewed extensively in wartime, they occur less frequently in civilian trauma and have accordingly been less frequently studied. A case report of a traumatic popliteal artery pseudoaneurysm and review of the literature are presented.
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              Peripheral interventions and antiplatelet therapy: Role in current practice

              Peripheral arterial disease (PAD) is a common disorder associated with a high risk of cardiovascular mortality and continues to be under-recognized. The major risk factors for PAD are similar to those for coronary and cerebrovascular disease. Management includes exercise program, pharmacologic therapy and revascularization including endovascular and surgical approach. The optimal revascularization strategy, endovascular or surgical intervention, is often debated due to the paucity of head to head randomized controlled studies. Despite significant advances in endovascular interventions resulting in increased utilization over surgical bypass, significant challenges still remain. Platelet activation and aggregation after percutaneous transluminal angioplasty of atherosclerotic arteries are important risk factors for re-occlusion/restenosis and life-threatening thrombosis following endovascular procedures. Antiplatelet agents are commonly prescribed to reduce the risk of myocardial infarction, stroke and death from cardiovascular causes in patients with PAD. Despite an abundance of data demonstrating efficacy of antiplatelet therapy in coronary artery disease and cerebrovascular disease, there is a paucity of clinical information, clinical guidelines and randomized controlled studies in the PAD population. Hence, data on antiplatelet therapy in coronary interventions is frequently extrapolated to peripheral interventions. The aim of this review article is to elucidate the current data on revascularization and the role and duration of antiplatelet and anticoagulant therapy in re-vascularized lower limb PAD patients.
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                Author and article information

                Journal
                angiologia
                Angiología
                Angiología
                Arán Ediciones S.L. (Madrid, Madrid, Spain )
                0003-3170
                1695-2987
                April 2022
                : 74
                : 2
                : 75-77
                Affiliations
                [4] Nueva Imperial orgnameServicio de Salud Araucanía Sur orgdiv1CESFAM Nueva Imperial Chile
                [3] Gottingen orgnameUniversitätsmedizin Göttingen orgdiv1Departamento de Cirugía Torácica y Cardiovascular Alemania
                [1] Temuco orgnameHospital Dr. Hernán Henríquez Aravena orgdiv1Servicio de Cirugía Chile
                [5] Los Ángeles orgnameDr. Hospital Víctor Ríos Ruiz orgdiv1Servicio Médico Quirúrgico Chile
                [2] Temuco orgnameClínica RedSalud Mayor orgdiv1Servicio de Cirugía Chile
                Article
                S0003-31702022000200075 S0003-3170(22)07400200075
                10.20960/angiologia.00349
                0a878e2f-0ce0-4bb5-bb52-262d42078a50

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 31 August 2021
                : 02 September 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 3
                Product

                SciELO Spain

                Categories
                Casos Clínicos

                Pseudoaneurisma,Pseudoaneurysm,Stents,Trauma
                Pseudoaneurisma, Pseudoaneurysm, Stents, Trauma

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