Endovascular graft placement for femoral artery erosion caused by recurrent vulvar carcinoma

Abstract

Background: Advances in minimally-invasive endovascular therapy have offered an efficient alternative to conventional open surgery in patients with severe comorbidities.

Case: We report a case of severe hemorrhage resulting from recurrent vulvar carcinoma-associated erosion of the left common femoral and proximal left superficial femoral arteries which was successfully managed with percutaneous endovascular stent-graft placement, achieving immediate hemostasis and maintaining lower extremity perfusion while awaiting more invasive and definitive treatment.

Conclusion: Endovascular stent-graft placement of eroded artery, in an infected field, is technically feasible in an emergency situation.