Yıl: 2021 Cilt: 33 Sayı: 2 Sayfa Aralığı: 99 - 104 Metin Dili: İngilizce DOI: 10.5336/cardiosci.2021-82604 İndeks Tarihi: 19-02-2022

Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition

Öz:
Through the past decade, the increased experience and technical advances in endovascular procedures enabled the use of percutaneous approaches more frequently to manage the peripheral arterial disease. However, despite endoluminal treatments' success in arterial lesions, their application in some unique circumstances is still debatable. These unfavorable conditions include anatomical location, functional impairment, and the factors affecting the intravascular flow dynamics. In this case report, an endovascular intervention of a patient who applied with intermittent claudication symptoms on his right leg was reported. Upon realizing the lesion was extravascular instead of being intravascular during the intraoperative course, the lesion was diagnosed with detailed imaging techniques. In diagnosis, a soft tissue calcification compressing the superficial femoral artery with a mass effect causing stenosis was detected. This case report is original for being the first case in the current literature and reported with detailed images.
Anahtar Kelime:

Perivasküler Yumuşak Doku Kalsifikasyonuna Bağlı Femoral Arter Stenozu: Operasyon Esnasında Tespit Edilen Durumun Endovasküler Tedavisi

Öz:
Son 10 yılda endovasküler yöntemlerde artan tecrübe ve teknik gelişimler, periferik arter hastalığı yönetiminde perkütan yaklaşımların daha sık kullanılmasını mümkün kılmıştır. Fakat endoluminal tedavilerin, arteriyel lezyonlardaki başarısına rağmen bazı özgün koşullarda kullanılması hâlen tartışmalıdır. Bu istenmeyen durumlar, anatomik konum, fonksiyonel bozukluk ve intravasküler akış dinamiklerini etkileyen faktörleri kapsamaktadır. Bu olgu sunumunda, sağ bacağında intermittan klodikasyo şikâyetiyle başvuran hastaya uygulanan endovasküler girişim sunulmuştur. Lezyonun intravasküler değil de ekstravasküler olduğunun, intraoperatif süreçte farkına varılması üzerine detaylı görüntüleme yöntemleri ile lezyon teşhis edilmiştir. Teşhiste, kitle etkisiyle süperfisiyal femoral artere bası uygulayarak stenoza yol açan bir yumuşak doku kalsifikasyonu tespit edilmiştir. Mevcut literatürde ilk olması ve detaylı görüntülemelerle raporlanması bakımından bu olgu sunumu orijinaldir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Zeller T. Current state of endovascular treatment of femoro-popliteal artery disease. Vasc Med. 2007;12(3):223-34.
  • 2. Herten M, Torsello GB, Schönefeld E, Stahlhoff S. Critical appraisal of paclitaxel balloon angioplasty for femoral-popliteal arterial disease. Vasc Health Risk Manag. 2016;12: 341-56.
  • 3. Newman AB, Shemanski L, Manolio TA, Cushman M, Mittelmark M, Polak JF, et al. Anklearm index as a predictor of cardiovascular disease and mortality in the Cardiovascular Health Study. The Cardiovascular Health Study Group. Arterioscler Thromb Vasc Biol. 1999;19(3):538-45.
  • 4. Diehm C, Schuster A, Allenberg JR, Darius H, Haberl R, Lange S, et al. High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study. Atherosclerosis. 2004;172(1):95-105.
  • 5. Dotter CT, Judkins MP. Transluminal treatment of arteriosclerotic obstruction. description of a new technic and a preliminary report of its application. Circulation. 1964;30:654-70.
  • 6. Antoniou GA, Chalmers N, Georgiadis GS, Lazarides MK, Antoniou SA, Serracino-Inglott F, et al. A meta-analysis of endovascular versus surgical reconstruction of femoropopliteal arterial disease. J Vasc Surg. 2013;57(1):242- 53.
  • 7. White CJ, Gray WA. Endovascular therapies for peripheral arterial disease: an evidencebased review. Circulation. 2007;116(19):2203- 15.
  • 8. Elgazzar AH. Diagnosis of soft tissue calcification. Orthopedic Nuclear Medicine. 1st ed. Berlin, Heidelberg: Springer; 2004. p.323-45.
  • 9. Tan Y, Zhang H, Xiao EH. Perivascular epithelioid cell tumour: dynamic CT, MRI and clinicopathological characteristics--analysis of 32 cases and review of the literature. Clin Radiol. 2013;68(6):555-61.
  • 10. Ebe H, Tsuboi H, Hagiya C, Takahashi H, Yokosawa M, Hagiwara S, et al. Clinical features of patients with IgG4-related disease complicated with perivascular lesions. Mod Rheumatol. 2015;25(1):105-9.
APA BAŞBUĞ H, Kızılgöz V (2021). Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. , 99 - 104. 10.5336/cardiosci.2021-82604
Chicago BAŞBUĞ Hamit Serdar,Kızılgöz Volkan Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. (2021): 99 - 104. 10.5336/cardiosci.2021-82604
MLA BAŞBUĞ Hamit Serdar,Kızılgöz Volkan Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. , 2021, ss.99 - 104. 10.5336/cardiosci.2021-82604
AMA BAŞBUĞ H,Kızılgöz V Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. . 2021; 99 - 104. 10.5336/cardiosci.2021-82604
Vancouver BAŞBUĞ H,Kızılgöz V Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. . 2021; 99 - 104. 10.5336/cardiosci.2021-82604
IEEE BAŞBUĞ H,Kızılgöz V "Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition." , ss.99 - 104, 2021. 10.5336/cardiosci.2021-82604
ISNAD BAŞBUĞ, Hamit Serdar - Kızılgöz, Volkan. "Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition". (2021), 99-104. https://doi.org/10.5336/cardiosci.2021-82604
APA BAŞBUĞ H, Kızılgöz V (2021). Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. Türkiye Klinikleri Cardiovascular Sciences, 33(2), 99 - 104. 10.5336/cardiosci.2021-82604
Chicago BAŞBUĞ Hamit Serdar,Kızılgöz Volkan Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. Türkiye Klinikleri Cardiovascular Sciences 33, no.2 (2021): 99 - 104. 10.5336/cardiosci.2021-82604
MLA BAŞBUĞ Hamit Serdar,Kızılgöz Volkan Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. Türkiye Klinikleri Cardiovascular Sciences, vol.33, no.2, 2021, ss.99 - 104. 10.5336/cardiosci.2021-82604
AMA BAŞBUĞ H,Kızılgöz V Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. Türkiye Klinikleri Cardiovascular Sciences. 2021; 33(2): 99 - 104. 10.5336/cardiosci.2021-82604
Vancouver BAŞBUĞ H,Kızılgöz V Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition. Türkiye Klinikleri Cardiovascular Sciences. 2021; 33(2): 99 - 104. 10.5336/cardiosci.2021-82604
IEEE BAŞBUĞ H,Kızılgöz V "Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition." Türkiye Klinikleri Cardiovascular Sciences, 33, ss.99 - 104, 2021. 10.5336/cardiosci.2021-82604
ISNAD BAŞBUĞ, Hamit Serdar - Kızılgöz, Volkan. "Femoral Artery Stenosis Due to Perivascular Mass: Endovascular Treatment of an Intraoperatively Detected Condition". Türkiye Klinikleri Cardiovascular Sciences 33/2 (2021), 99-104. https://doi.org/10.5336/cardiosci.2021-82604