Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature

Autor: Ranjan Patel, Tara Prasad Tripathy, Ripan Debbarma, Sudipta Mohakud, Satyapriya Mohanty, Nerbadyswari Deep Bag
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Acta Medica Lituanica, Vol 30, Iss 1 (2023)
Druh dokumentu: article
ISSN: 1392-0138
2029-4174
DOI: 10.15388/Amed.2023.30.1.9
Popis: Iatrogenic femoral artery pseudoaneurysms (IFAPs) are not uncommon due to the increase in various minimally-invasive endovascular procedures. Percutaneous thrombin injection is an established technique for large pseudoaneurysms. When ultrasound-guided compression of an aneurysmal neck is not feasible, percutaneous thrombin injection can be combined with endovascular balloon occlusion to prevent leakage of thrombin into the parent artery. We describe a large IFAP following the removal of the femoral dialysis catheter after an inadvertent arterial puncture, which was managed with percutaneous ultrasound-guided (USG) thrombin injection with simultaneous balloon occlusion at the level of the aneurysmal neck without any complications. Follow-up imaging showed thrombosed IFAP without any recurrence.
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