Popliteal artery aneurysm treated with endovascular technique and new device: case report and literature review

In this paper, we aimed to report an alternative endovascular treatment in a patient with an isolated popliteal artery aneurysm. A 69 year-old male patient, with hypertension and post-operative of gastric bypass surgery for obesity, was admitted with right limb pain, mainly in the calf, associated with a weakness and difficulty walking. The patient was submitted to a duplex ultrasound, that suggested a popliteal artery aneurysm, with 3,8 cm diameter, confirmed with CT angiogram. Furthermore, the patient had no proper saphenous vein diameter for a open surgery bypass evaluated by a Doppler ultrasound. Then, the patient was scheduled to undergo endovascular treatment of the popliteal artery aneurysm with two covered self-expandable 8x100 and 10x75 Merit Wrapsodyâ. The patient was discharged from the hospital two days after the surgery with no complications, palpable pedal pulses taking Rivaroxaban 20mg and Clopidogrel 75mg daily. At year follow-up the patient was asymptomatic and duplex showed patent stent without evidence of endoleak.