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Post-catheterization giant pseudoaneurysm of the femoral artery: a delayed clinical presentation

Year 2017, Volume: 3 Issue: 1, 80 - 82, 04.03.2017
https://doi.org/10.18621/eurj.2017.5000199283

Abstract

Post-catheterization
pseudoaneurysm is most common vascular complication of cardiac and peripheral
angiographic procedures. We report a 67-year-old female patient with giant (25
cmx25 cm) femoral artery pseudoaneurysm which gradually enlarged without
rupture developed after catheterization in the periods of three years. She
electively underwent to operation. Pseudoaneurysm pouch was evacuated and the
bleeding focus from possible catheterization site was primarily repaired with
polypropylene suture. Intraoperative or postoperative course was uncomplicated.
The patient was discharged on postoperative day 5. The interesting aspect of
the presented case is that despite a wide pseudoaneurysm, it remains unruptured
for several years.  

References

  • [1] Kresowik TF, Khoury MD, Miller BV, Winniford MD, Shamma AR, Sharp WJ, et al. A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty. J Vasc Surg 1991:13;328-35.
  • [2] Pereira MM, Marassi JP, Silva OB, Pires LJ I, dos Santos LN, Filho HP, et al. Alternative treatment for postcatheterisation femoral false aneurysm. J Vasc Bras 2011:10;177-80.
  • [3] Webber GW, Jang J, Gustavson S, Olin JW. Contemporary management of postcatheterization pseudoaneurysms. Circulation 2007:115;2666-74.
  • [4] Kassem HH, Elmahdy MF, Ewis E, Mahdy SG. Incidence and predictors of post-catheterization femoral artery pseudoaneurysms. The Egyptian Heart Journal 2013:65; 213-21.
  • [5] Renner J, Pasquier P, Falzone E, Rozwadowski F, Merat S. Life-threatening rupture of a false aneurysm after femoral arterial catheterization: unexpected delay after a common procedure. Case Rep Vasc Med 2013;2013:403507.
  • [6] Yavuz S, Selimoglu O, Goncu MT, Ozdemir IA. Pseudoaneurysms of the profunda femoris artery. Asian Cardiovasc Thorac Ann 2001;9:73-5.
  • [7] Demir D, Abanoz M, Kocaslan A. An unusual gunshot wound: the huge iliofemoral pseudoaneurysm that occurs after insufficient exploration. Case Study Case Rep 2014:4;127-32.
  • [8] Tiryakioglu O, Demirtas S, Goncu T, Yumun G, Ozyazicioglu A. Pseudoaneurysms: a retrospective study of 52 patients. Chirurgia 2009;22:5-8.
  • [9] Filis K, Arhontovasilis F, Theodorou D, Albanopoulos K, Lagoudianakis E, Manouras A, et al. Management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization. Hellenic J Cardiol 2007;48:134-42.
  • [10] Kim KS, Youn JM, Han WS, Yoon YJ, Yoo JH, Gu DY, et al. Successful treatment of an Iatrogenic giant femoral artery pseudoaneurysm with percutaneous thrombin injection. Korean Circ J 2010;40:292-4.
  • [11] Yetkin U, Ozelci A, Akyuz M, Goktogan T, Yurekli I, Gurbuz A. Surgical approach to a giant post cardiac catheterization pseudoaneurysm after unsuccessful duplex ultrasound-guided compression. Internet J Cardiol 2009;8:1-6.
Year 2017, Volume: 3 Issue: 1, 80 - 82, 04.03.2017
https://doi.org/10.18621/eurj.2017.5000199283

Abstract

References

  • [1] Kresowik TF, Khoury MD, Miller BV, Winniford MD, Shamma AR, Sharp WJ, et al. A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty. J Vasc Surg 1991:13;328-35.
  • [2] Pereira MM, Marassi JP, Silva OB, Pires LJ I, dos Santos LN, Filho HP, et al. Alternative treatment for postcatheterisation femoral false aneurysm. J Vasc Bras 2011:10;177-80.
  • [3] Webber GW, Jang J, Gustavson S, Olin JW. Contemporary management of postcatheterization pseudoaneurysms. Circulation 2007:115;2666-74.
  • [4] Kassem HH, Elmahdy MF, Ewis E, Mahdy SG. Incidence and predictors of post-catheterization femoral artery pseudoaneurysms. The Egyptian Heart Journal 2013:65; 213-21.
  • [5] Renner J, Pasquier P, Falzone E, Rozwadowski F, Merat S. Life-threatening rupture of a false aneurysm after femoral arterial catheterization: unexpected delay after a common procedure. Case Rep Vasc Med 2013;2013:403507.
  • [6] Yavuz S, Selimoglu O, Goncu MT, Ozdemir IA. Pseudoaneurysms of the profunda femoris artery. Asian Cardiovasc Thorac Ann 2001;9:73-5.
  • [7] Demir D, Abanoz M, Kocaslan A. An unusual gunshot wound: the huge iliofemoral pseudoaneurysm that occurs after insufficient exploration. Case Study Case Rep 2014:4;127-32.
  • [8] Tiryakioglu O, Demirtas S, Goncu T, Yumun G, Ozyazicioglu A. Pseudoaneurysms: a retrospective study of 52 patients. Chirurgia 2009;22:5-8.
  • [9] Filis K, Arhontovasilis F, Theodorou D, Albanopoulos K, Lagoudianakis E, Manouras A, et al. Management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization. Hellenic J Cardiol 2007;48:134-42.
  • [10] Kim KS, Youn JM, Han WS, Yoon YJ, Yoo JH, Gu DY, et al. Successful treatment of an Iatrogenic giant femoral artery pseudoaneurysm with percutaneous thrombin injection. Korean Circ J 2010;40:292-4.
  • [11] Yetkin U, Ozelci A, Akyuz M, Goktogan T, Yurekli I, Gurbuz A. Surgical approach to a giant post cardiac catheterization pseudoaneurysm after unsuccessful duplex ultrasound-guided compression. Internet J Cardiol 2009;8:1-6.
There are 11 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

Deniz Demir

Mehmet Tugrul Goncu

Nail Kahraman

Temmuz Taner This is me

Buket Ozyaprak

Arif Gucu

Publication Date March 4, 2017
Submission Date August 22, 2016
Acceptance Date October 12, 2016
Published in Issue Year 2017 Volume: 3 Issue: 1

Cite

AMA Demir D, Goncu MT, Kahraman N, Taner T, Ozyaprak B, Gucu A. Post-catheterization giant pseudoaneurysm of the femoral artery: a delayed clinical presentation. Eur Res J. March 2017;3(1):80-82. doi:10.18621/eurj.2017.5000199283

e-ISSN: 2149-3189 


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