Successful Percutaneous Transcatheter Closure of a Common Femoral Artery Pseudoaneurysm With Use of MicroVascular Plug Despite Continued Catheter-Directed Thrombolysis

Reza Talaie, Hamed Jalaeian, Donna D’Souza, Yasmina Aboufirass, Jafar Golzarian

Research output: Contribution to journalArticle

Abstract

Common femoral artery pseudoaneurysm is a known complication of percutaneous vascular access. Treatment options include surgical repair of the pseudoaneurysm or endovascular methods such as ultrasound-guided compression and direct thrombin injection into the pseudoaneurysm sac. Treatment of pseudoaneurysm is more challenging when a patient is undergoing concurrent catheter-directed or systemic thrombolytic therapy. This is a case report of endovascular treatment of an iatrogenic pseudoaneurysm of common femoral artery in a patient receiving concurrent catheter-directed thrombolytic therapy. This was performed successfully by precise deployment of a MicroVascular Plug into the pseudoaneurysm neck with immediate closure of pseudoaneurysm. Midterm follow-up confirmed sustained exclusion of the pseudoaneurysm sac with continued patency of the treated femoral artery.

Original languageEnglish (US)
Pages (from-to)458-462
Number of pages5
JournalVascular and Endovascular Surgery
Volume54
Issue number5
DOIs
StatePublished - Jul 1 2020

Keywords

  • catheter-directed thrombolysis
  • common femoral artery
  • pseudoaneurysm
  • vascular plug

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