CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(02): 211-214
DOI: 10.4103/ijri.IJRI_332_18
Case Report

Endovascular treatment of refractory iatrogenic femoral artery pseudoaneurysm using Amplatzer vascular plugs following unsuccessful retrograde Angio-Seal deployment

Eu Jhin Loh
Department of General Surgery, Calvary Mater Hospital, Waratah, NSW
,
Robert Allen
Department of Medical Imaging, The Canberra Hospital, Garran, ACT, Australia
› Author Affiliations

Subject Editor: Financial support and sponsorship Nil.

Abstract

Iatrogenic common femoral artery pseudoaneurysm is a well-known vascular access complication of angiography and transfemoral intervention. Thrombin injection is a well-accepted technique in treating these pseudoaneurysms but possess a significant risk of distal lower extremity thrombosis leading to severe consequences. Several case reports described the novel approach to closing these pseudoaneurysms via a retrograde deployment of an Angio-Seal vascular closure device. We describe a case of a successful treatment of refractory iatrogenic femoral artery pseudoaneurysm using Amplatzer vascular plugs following unsuccessful retrograde deployment of an Angio-Seal vascular closure device.



Publication History

Article published online:
22 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Knight CG, Healy DA, Thomas RL. Femoral artery pseudoaneurysms: Risk factors, prevalence, and treatment options. Ann Vasc Surg 2003; 17: 503-8
  • 2 Imsand Hayoz. Current treatment options of femoral pseudoaneurysms. Vasa 2007; 36: 91-5
  • 3 Gabrielli R, Rosati MS, Vitale S, Millarelli M, Chiappa R, Siani A. et al. Fatal complication after thrombin injection for post-catheterization femoral pseudoaneurysm. Thorac Cardiovasc Surg 2011; 59: 372-5
  • 4 Luedde M, Krumsdorf U, Zehelein J, Ivandic B, Dengler T, Katus HA. et al. Treatment of iatrogenic femoral pseudoaneurysm by ultrasound-guided compression therapy and thrombin injection. Angiology 2007; 58: 435-9
  • 5 Huang TL, Liang HL, Huang JS, Yang TL, Chen YJ, Huang PY. et al. Ultrasound-guided compression repair of peripheral artery pseudoaneurysm: 8 years’ experience of a single institute. J Chin Med Assoc 2012; 75: 468-73
  • 6 Nakai M, Sato M, Sanda H, Ikoma A, Kawai N, Minamiguchi H. et al. Percutaneous fluoroscopically guided n-butyl cyanoacrylate (NBCA) injection for iatrogenic femoral arterial pseudoaneurysm under temporary balloon occlusion of arterial blood flow. Jpn J Radiol 2012; 30: 365-9
  • 7 Waldherr, Kickuth, Ludwig, Do, Triller. Superselective embolization of deep femoral artery branch pseudoaneurysm with a coaxial microcatheter system. Vasa 2006;35:45-9
  • 8 Orimoto Y, van Keulen JW, Waasdorp EJ, Moll FL, van Herwaarden JA. Treatment of a recurrent false aneurysm of the femoral artery by stent–graft placement from the brachial artery. Ann Vasc Surg 2011; 25: 841.e1-4
  • 9 Borioni R, Garofalo M, De Paulis R, Albano P, Caprara E, Fratticci L, Chiariello L. Surgical treatment of femoral artery pseudoaneurysms after cardiac catheterization. Minerva Chir 2008; 63: 277-82
  • 10 Robken J, Shammas NW. Novel technique to treat common femoral artery pseudoaneurysm using Angio-Seal closure device. Int J Angiol 2016; 25: 266-70
  • 11 Xiang DC, Hillegass WB, Luo GX, He JX. Treatment of refractory iatrogenic femoral artery pseudoaneurysm with a vascular closure device. J Vasc Interv Radiol 2009; 20: 1639-40
  • 12 Hadziomerovic A, Jetty P, Gupta A. Angioseal-assisted closure of iatrogenic refractory femoral arterial pseudoaneurysm. JACC: Cardiovasc Interv 2016; 9: e55-7
  • 13 Resnic FS, Arora N, Matheny M, Reynolds MR. A cost-minimization analysis of the Angio-Seal vascular closure device following percutaneous coronary intervention. Am J Cardiol 2007; 99: 766-70