Endovascular Treatment of Complicated Popliteal Aneurysms Using the Novel "Trap and Fix" Technique

Zola N'Dandu; Khaldia Khaled; Richard Ayetevi Agbodji; Georgios Papapostolou; Andrej Schmidt; Grigorios Korosoglou

doi:10.1016/j.jaccas.2023.102029

Endovascular Treatment of Complicated Popliteal Aneurysms Using the Novel "Trap and Fix" Technique

JACC Case Rep. 2023 Sep 14:24:102029. doi: 10.1016/j.jaccas.2023.102029. eCollection 2023 Oct 18.

Authors

Zola N'Dandu¹, Khaldia Khaled¹, Richard Ayetevi Agbodji², Georgios Papapostolou³, Andrej Schmidt⁴, Grigorios Korosoglou⁵

Affiliations

¹ Department of Cardiology, Ochsner Health System, Ochsner Medical Center-Kenner, Kenner, Louisiana, USA.
² Clinical Research Coordinator, Tulane Center of Clinical Research, Tulane School of Medicine, New Orleans, Louisiana, USA.
³ Department of Vascular Surgery, St Josef Hospital Bochum, Ruhr University of Bochum, Bochum, Germany.
⁴ Department of Interventional Angiology, University Hospital Leipzig, Leipzig, Germany.
⁵ Department of Cardiology and Vascular Medicine, Gesundheitszentrum Rhein Neckar Hospital Weinheim, Weinheim, Germany.

Abstract

Herein, we present 2 patients with lower limb ischemia caused by complicated popliteal aneurysms with thrombosis and distal embolization, compromising blood flow to the foot. In both cases, covered stents were first implanted guided by intravascular ultrasound and computed tomography angiography, respectively. After "trapping" the thrombi, mechanical thrombectomy or further stent implantations were performed, "fixing" the remaining lesions and preventing embolization. (Level of Difficulty: Intermediate.).

Keywords: computed tomography; intravascular ultrasound (IVUS); peripheral circulation; peripheral vascular disease; thrombus.

Publication types

Case Reports