The purpose of this paper is to report a case of axillary artery aneurysm, successfully treated by percutaneous transfemoral self-expandable polytetrafluoroethylene (PTFE) covered Wallgraft stent. A 20-year-old man presented with sudden-onset, severe aching pain of left upper limb that occurred while doing isometric exercise. He had feeble left brachial and radial pulses. Angiography revealed a 21 x 14 mm left axillary artery aneurysm with a 15 mm neck. There was an organized clot in the midpart of the left brachial artery. The aneurysm was successfully closed with a self-expandable 10 x 30 mm Wallgraft endoprosthesis PTFE graft stent, via the right femoral route. A check angiogram at 6 weeks of follow-up showed a patent stent with no endovascular leak. At 1 year of follow-up, the patient was asymptomatic with normal upper limbs pulsations. Axillary artery aneurysm may be treated with a stent graft, which is an effective, rapid, and definite treatment and is an acceptable alternative to standard open surgical repair.
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机译：本文的目的是报告一例腋动脉瘤，通过经皮经股动脉自膨胀聚四氟乙烯（PTFE）覆盖的Wallgraft支架成功治疗。一名20岁男子在进行等距运动时出现左上肢突然发作的严重疼痛。他的左臂和radial动脉微弱。血管造影显示左腋动脉瘤为21 x 14 mm，颈部为15 mm。左肱动脉中部有组织的血块。通过一条正确的股动脉途径，使用可自我扩张的10 x 30 mm Wallgraft内置假体PTFE移植支架成功关闭动脉瘤。随访6周时进行的检查血管造影显示，专利支架没有血管内渗漏。随访1年，患者无症状，上肢搏动正常。腋动脉瘤可以用覆膜支架进行治疗，这是一种有效，快速和明确的治疗方法，是标准开放式手术修复的可接受替代方法。
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