Endovascular Repair of a Large Common Femoral Artery Pseudoaneurysm via a Retrograde Deep Femoral Arterial Access

2016 ◽  
Vol 39 (12) ◽  
pp. 1792-1794 ◽  
Author(s):  
Michael Megaly ◽  
Gaurav K. Sharma ◽  
Amit Kumar ◽  
Paul Jones
2017 ◽  
Vol 55 (1) ◽  
pp. 57-59
Author(s):  
Mohammad Parsa Mahjoob ◽  
Isa Khaheshi ◽  
Mohammadreza Naderian

Abstract The femoral artery pseudoaneurysm is a disturbing groin complication associated with the femoral arterial access site used for invasive cardiovascular interventions. We present a 39 year old man who developed a huge right common femoral artery pseudoaneurysm, following diagnostic coronary artery catheterization, which was successfully managed with stent-assisted coiling, an emerging and narrative option in invasive percutaneous approaches to femoral artery pseudoaneurysm.


2016 ◽  
Vol 89 (7) ◽  
pp. 1185-1192 ◽  
Author(s):  
Arnold H. Seto ◽  
Jeffrey Tyler ◽  
William M. Suh ◽  
Alexander T. Harrison ◽  
Jesus A. Vera ◽  
...  

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 62-68
Author(s):  
Dimitrij Kuhelj ◽  
Vladka Salapura ◽  
Nina Boc

Background: The introduction of stent grafts for thoracic and abdominal aorta (T / EVAR) has raised the demand for percutaneous closure devices for larger femoral arterial access sites. The aim of our study was to evaluate the success and complication rate of completely percutaneous T / EVAR with Prostar XL® and surgical haemostasis over a 50- month period. Patients and methods: Between December 16th 2005 and February 17th 2010 T / EVAR was performed in 306 patients with 568 arterial access sites with diameters of 12 to 24 Fr. The exclusion criteria for percutaneous haemostasis were a calcified anterior wall at the puncture site and / or a stenotic common femoral artery, seen on computed tomographic angiography. Results: Surgical haemostasis was performed in 184 (32.4 %, o-T / EVAR group) while percutaneous haemostasis was attempted at 384 sites (67.6 %, p-T / / EVAR group). Most of the procedures were elective; five of twelve emergency patients had percutaneous haemostasis that was successful in all. Percutaneous haemostasis failed at 23 sites. No data about follow-up was recorded for 54 sites (9,5 %). The technical success rate of percutaneous haemostasis was 93.6 % (338 / 361 sites). A larger size of the access site resulted in significantly more complications of haemostasis in both groups (p-T / EVAR group p = 0.019; o-T / EVAR group p = 0.003). p-T / EVAR caused more mild complications compared to o-T / EVAR (p = 0.03). No deaths as consequence of failed haemostasis were recorded. Conclusions: Complete percutaneous T / EVAR is technically feasible and safe in a majority of patients. Good patient selection based on adequate pre-procedural imaging and technical expertise of the operators are key to success. Surgical back-up is strongly recommended to assist in those patients in whom p-T / EVAR fails.


1995 ◽  
Vol 2 (2) ◽  
pp. 189-195 ◽  
Author(s):  
Michael R. Jaff ◽  
Gerald Dorros ◽  
Krishna Kumar ◽  
Gerardo Caballero ◽  
Alfred Tector

Cureus ◽  
2019 ◽  
Author(s):  
John O Patrick ◽  
Michael J Yoo ◽  
Neil P Larson ◽  
Rachel E Bridwell

2014 ◽  
Vol 41 (6) ◽  
pp. 634-637 ◽  
Author(s):  
Christos D. Karkos ◽  
Thomas E. Kalogirou ◽  
Ioakeim T. Giagtzidis ◽  
Konstantinos O. Papazoglou

The rupture of a mycotic femoral artery pseudoaneurysm in an intravenous drug abuser is a limb- and life-threatening condition that necessitates emergency intervention. Emergency stent-grafting appears to be a viable, minimally invasive alternative, or a bridge, to subsequent open surgery. Caution is required in cases of suspected concomitant deep vein thrombosis in order to minimize the possibility of massive pulmonary embolism during stent-grafting, perhaps by omitting stent-graft postdilation or by inserting an inferior vena cava filter first. We describe the emergency endovascular management, in a 60-year-old male intravenous drug abuser, of a ruptured mycotic femoral artery pseudoaneurysm, which was complicated by a fatal pulmonary embolism.


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