İsmail YÜREKLİ, Tevfik GÜNEŞ, Barçin ÖZCEM, Serdar BAYRAK, Levent YİLİK, Ali GÜRBÜZ, Orhan GÖKALP

SÜPERFİCİAL FEMORAL ARTERDE POSTTRAVMATİK GELİŞEN PSÖDOANEVRİZMANIN AYNI SEANSTA HİBRİT YÖNTEMLER İLE TEDAVİSİ: OLGU SUNUMU

Vasküler sistemde görülen psödoanevrizmaların en sık sebebi invaziv girişimler sırasında yapılan ponksiyonlar olmakla birlikte etiyolojik faktör olarak travmalarla da sıklıkla karşılaşılabiliriz. Bu psödoanevrizmalara özellikle belirli boyutlara ulaştıklarında rüptürasyon ve obstruksiyon ya da distal embolizasyona bağlı ekstremite iskemisine yol açma riski taşıdıkları için müdahale etmek gerekebilir. Tedavi olarak sıklıkla kullanılan yöntem cerrahi olmakla birlikte invaziv radyolojideki gelişmeler sayesinde uygun vakalarda endoluminal yöntemler de kullanılabilmektedir. Ancak postravmatik gelişen psödoanevrizma tedavisinde hibrit prosedür çok çok nadiren kullanılmaktadır. Bu çalışmada travma sonrası 1.ayda süperficial femoral arterinde SFA psödoanevrizma tespit edilen olgunun aynı seansta hibrit yöntemlerle tedavisi literatür bilgileri ışığında sunuldu

Anahtar Kelimeler:

Psödoanevrizma, femoral arter, hibrit prosedür

SUCCESSFUL TREATMENT OF THE POSTTRAUMATIC PSEUDOANEURYSM OF THE SUPERFICIAL FEMORAL ARTERY WITH A HYBRID PROCEDURE AT THE SAME SESSION: A CASE REPORT

Although the most common cause of pseudoaneurysms seen in the vascular system is the punctures during the invasive interventions, trauma may be encountered as an etiological factor as well. These pseudoaneurysms must be intervened especially when they reach to certain size, because they carry a risk for rupture and obstruction or extremity ischemia due to distal embolization. The most often used treatment method is surgery, although endoluminal methods can be used in suitable cases owing to the advancement in the invasive radiology. However, using of the hybrid procedure for treatment of the postraumatic pseudoaneurysms is extremely rare. In this study, treatment of the case with pseudoaneurysm defined in his superficial femoral artery SFA in the 1st month of the trauma which was performed with a hybrid procedure was presented in the light of the literature knowledge

Keywords:

Pseudoaneurysm, femoral artery, hybrid procedure,

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Surg. Yazının alınma tarihi:08.04.2013
Kabül tarihi:30.04.2013
Online basım:02.05.2013
İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi,2013;17:98-102