Endovascular repair of popliteal artery pseudoaneurysm with arteriovenous fistula after knee arthroscopy: case report and literature review

Vasc Endovascular Surg. 2014 Feb;48(2):166-70. doi: 10.1177/1538574413512379. Epub 2013 Dec 3.

Abstract

We report a case of postarthroscopic popliteal artery pseudoaneurysm (PSA) with arteriovenous fistula (AVF; PSA-AVF) in a 53-year-old woman who presented with limb edema, pain, and bruit 1 year after arthroscopic meniscectomy. She was treated percutaneously by covered stent deployment. After 6 months of follow-up, the patient was asymptomatic, with patency of the stent and occlusion of the AVF. A review of the literature was also performed to investigate the prevalence of postarthroscopic PSAs and highlight the endovascular approach of treatment. Endovascular approach with covered stent appears to be less invasive and might be an effective and feasible way of treatment of postarthroscopic popliteal PSA-AVF.

Keywords: arteriovenous fistula; arthroscopy; endovascular; popliteal; pseudoaneurysm.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Angiography, Digital Subtraction
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy*
  • Arthroscopy / adverse effects*
  • Endovascular Procedures* / instrumentation
  • Female
  • Humans
  • Knee Joint / surgery*
  • Magnetic Resonance Angiography
  • Middle Aged
  • Popliteal Artery* / diagnostic imaging
  • Popliteal Vein* / diagnostic imaging
  • Stents
  • Treatment Outcome
  • Ultrasonography, Doppler, Color