Successful Treatment of an Iatrogenic Giant Femoral Artery Pseudoaneurysm With Percutaneous Thrombin Injection.
10.4070/kcj.2010.40.6.292
- Author:
Ki Su KIM
1
;
Jun Mo YOUN
;
Won Seok HAN
;
Young Jin YOON
;
Jae Hoon YOO
;
Dong Young GU
;
Il RHEE
Author Information
1. Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Busan, Korea. cormed@empas.com
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Carotid artery stenosis;
Thrombin
- MeSH:
Aneurysm, False;
Anticoagulants;
Carotid Stenosis;
Catheters;
Femoral Artery;
Humans;
Myocardial Ischemia;
Platelet Aggregation Inhibitors;
Stents;
Thrombin
- From:Korean Circulation Journal
2010;40(6):292-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
A femoral artery pseudoaneurysm (FAP) is one of the most troublesome complications following invasive procedures related to the femoral arterial access. Post-procedure FAP rarely occurs; however, its occurrence tends to increase with the more frequently antiplatelet agents, anticoagulants, and larger-sized catheter used for interventional procedures. Traditionally, surgical repair has been considered as the standard treatment modality for FAP; however, less invasive methods currently exist such as blind manual or ultrasound-guided compression repair (UGCR) as well as percutaneous thrombin injection, both of which have replaced the need for surgery. We report a case of a giant pseudoaneurysm in a femoral artery, which had developed as a complication of stenting in a patient with carotid artery stenosis and ischemic heart disease, and was subsequently successfully treated using percutaneous thrombin injection.