Multi-Aneurysms Multidisciplinary Team Treatment

Background Managing complex multi-vessel aneurysmal disease in young patients requires innovative multi-disciplinary approaches. We present a unique case of a 53-year-old male presenting with multiple aneurysms involving peripheral lower extremity arteries.

Case Presentation The patient successfully underwent a complex hybrid intervention. For the large popliteal aneurysms, an endovascular approach utilizing covered stent grafts was successfully deployed to exclude the aneurysmal sacs while preserving distal run-off. A more distal Lower leg aneurysm was treated with the deployment of the C-Guard stent—representing, to our knowledge, the first documented deployment of this neurovascular stent below the knee.

Conclusion This case highlights an exceptional collaborative effort among vascular surgeons, interventional-radiologists, and interventional-neuroradiologists. Combining peripheral stent-grafting with novel neurovascular embolic protection technology demonstrates the immense potential of cross-specialty synergy in managing complex systemic aneurysmal disease, paving the way for future multidisciplinary endovascular innovations.