Varied percutaneous and endovascular management of large iatrogenic profunda femoris artery pseudoaneurysm. | [Journal of Pakistan Medical Association • 2017]

Author(s):

1. Wasey Jillani: Aga Khan University Hospital, Karachi, Pakistan

2. Raza Sayani: Aga Khan University Hospital, Karachi, Pakistan

3. Tanveer Ul Haq: Aga Khan University Hospital, Karachi, Pakistan

4. Masood Umer: Aga Khan University Hospital, Karachi, Pakistan

5. Muhammad Azeemuddin: Aga Khan University Hospital, Karachi, Pakistan

Abstract:

The case of an elderly male diagnosed with a large iatrogenic pseudoaneurysm arising from the profunda femoris artery on ultrasound examination is presented. The immediate postoperative period was uneventful; however later he developed leg swelling and mild oozing at the incision site. In view of deranged renal function CT angiogram was not done and decision was made to treat the pseudoaneurysm with percutaneous thrombin injection. Almost complete thrombosis was achieved however a small residual portion remained patent near the neck. Later limited contrast angiography was done which re-demonstrated a small anneurysm. Instead of embolizing the vessel completely repeat prolonged balloon inflation was done which later showed no further filling of the pseudoaneurysm.

Page(s): 1441-1443

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 67, Issue: 9, Year: 2017

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