Successful endoluminal repair of a popliteal artery aneurysm using the wallgraft endoprosthesis

Purpose: To describe the first application of the Wallgraft endovascular pr osthesis to aneurysm exclusion in the popliteal artery. Methods and Results: A 61-year-old man was admitted to our institution with a popliteal artery aneurysm complicated by associated popliteal vein compr ession, deep venous thrombosis, and pulmonary embolism. The endovascular pr ocedure was performed percutaneously with local anesthesia using a low-prof ile, covered stent (Wallgraft Endoprosthesis). The aneurysm was successfull y excluded from the arterial circulation, and there were no postprocedural complications. Follow-up evaluation with appropriate imaging at 10 months r evealed no endoleaks. Conclusions: This initial result indicates that percutaneous deployment of the Wallgraft endoprosthesis, with its smaller diameter and flexible design , may offer significant advantages over currently available devices for rep air of popliteal artery aneurysms. This method obviates the need for genera l anesthesia or surgical exposure, which is particularly beneficial in pati ents with comorbid illnesses.