Missile embolisation to the right common femoral artery following thoracic injury, without any conspicuous source of entry

2022 ◽  
Author(s):  
Ankit Mathur ◽  
Bhushan Anand Khadgir ◽  
Omeshwar Sharma ◽  
Abhinav Singh ◽  
Hussainur Rehman SK ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Thoracic Injury ◽  
The Right

scholarly journals Early Detection of Post-Endarterectomy Complication by Point-of-Care Ultrasound

Reports ◽  
2021 ◽  
Vol 4 (3) ◽  
pp. 21
Author(s):  
Bo-Ku Chen ◽  
Po-Wei Chiu ◽  
Chih-Hao Lin
Keyword(s):  
Femoral Artery ◽  
Point Of Care ◽  
Postoperative Bleeding ◽  
External Iliac Artery ◽  
Common Femoral Artery ◽  
Atheromatous Plaque ◽  
Point Of Care Ultrasound ◽  
Related Complication ◽  
Contrast Extravasation ◽  
The Right

Endarterectomy is an effective intervention to remove the atheromatous plaque in the inner lining of the artery, aiming to revascularize the occluded/stenosed vessel in patients with peripheral arterial occlusive disease (PAOD). The most common wound-related complication is postoperative bleeding, followed by infection, hematoma, and seroma. However, hematoma complications with air surrounded have rarely been reported in clinical cases. Case presentation: A 90-year-old female patient visited our emergency department because of a rapidly growing hematoma with pulsatile bleeding over her right groin area. She had received bilateral percutaneous transluminal angioplasty with endarterectomy for PAOD one month prior. A point-of-care ultrasound revealed a large hypoechoic mass, with a dirty shadow on the right groin area. Computed tomography angiography showed a hematoma over her right femoral region, with free air surrounding the right femoral artery. Angiography revealed an irregular shaped lesion on the right femoral artery without contrast extravasation. The patient was diagnosed with right-femoral post-endarterectomy infection with infected hematoma, with the inclusion of air. She underwent urgent excision and repair of the right femoral artery infectious lesion, debridement of the infectious hematoma and stenting of the right external iliac artery, common femoral artery and superficial femoral artery.

scholarly journals Persistent sciatic artery: A case report

2008 ◽  
Vol 136 (11-12) ◽  
pp. 654-657
Author(s):  
Dragan Sagic ◽  
Zelimir Antonic ◽  
Stevo Duvnjak ◽  
Miodrag Peric ◽  
Branko Petrovic ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Proximal Part ◽  
Persistent Sciatic Artery ◽  
Usual Manner ◽  
Therapeutic Decisions ◽  
Inferior Extremity ◽  
Internal Iliac ◽  
Embryologic Development ◽  
The Right

INTRODUCTION The sciatic artery represents the earliest embryological blood supply to the lower extremity. It regresses after the 3rd month of embryologic development. The proximal part of the sciatic artery eventually persists as the inferior gluteal artery. Rarely, however, it persists into adulthood when it is frequently associated with numerous possible complications (aneurysm formation, embolism, nerve compression, rupture, thrombosis). CASE OUTLINE In March 1996, a 48-year-old male was admitted for angiography of the blood vessels of the right inferior extremity, before an elective orthopaedic procedure. Arteriography of the right leg was done in a usual manner through the right common femoral artery in order to get an angiogram of the popliteal trifurcation and crural arteries. However, on the first field we noticed a hypoplastic superficial femoral artery, as well as a huge persistent sciatic artery (PSA) originating from the internal iliac artery running distally and overlapping the deep femoral artery. There were no aneurysm and stenotic changes of PSA. CONCLUSION If clinical condition is stable, follow-ups at 12 months intervals should be done by means of ultrasound. The therapeutic decisions also depend on complete or incomplete PSA.

scholarly journals Penetrating wound of the heart manifested with periphery embolism: Case report

2012 ◽  
Vol 69 (9) ◽  
pp. 803-805 ◽  
Author(s):  
Milos Velinovic ◽  
Mile Vranes ◽  
Biljana Obrenovic-Kircanski ◽  
Svetozar Putnik ◽  
Aleksandar Mikic ◽  
...  
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Femoral Artery ◽  
Septal Defect ◽  
Common Femoral Artery ◽  
Acute Ischemia ◽  
Rare Type ◽  
Penetrating Wound ◽  
Event Reconstruction ◽  
The Right

Introduction. Heart injuries can be classified as penetrating and non-penetrating (blunt). Penetrating wounds are usually caused by stabbing with a piercing object, weapon or projectiles - missiles. The right atrium is damaged in most cases, because of its anatomical position - making the most of the anterior side of the heart. Morbidity caused by stabbing injuries to the heart is 20%-30%, while piercing wounds cause 30%-60% of deaths. Case report. A 28-year-old patient was admitted to our clinic with acute ischemia of the extremities. Angiography revealed a bullet in the right common femoral artery, occluding it. The patient denied having any piercing or shooting wound to his leg, but he said that four years before he had been shot to his chest. Echocardiography revealed an atrial septal defect of secondary type. An event reconstruction revealed that, four years after shooting, the bullet was displaced from the heart to the right common femoral artery. Conclusion. This case report is unique because of the rare type of injury, time that passed from the injury, the way bullet entered the artery (via atrial septal defect) and especially the success of both surgical procedures (embolectomy and repair of atrial septal defect).

scholarly journals A CASE OF RUPTURED ANEURYSM OF THE RIGHT COMMON FEMORAL ARTERY ASSOCIATED WITH BEHÇET'S SYNDROME

1984 ◽  
Vol 45 (3) ◽  
pp. 351-356
Author(s):  
Hitoshi HANAUE ◽  
Kanji MIENO ◽  
Yoshiaki KITANO ◽  
Kunihiko FURUYA ◽  
Makoto SHISHIKURA ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Ruptured Aneurysm ◽  
Behçet’S Syndrome ◽  
Behçet's Syndrome ◽  
Behcet’S Syndrome ◽  
The Right ◽  
Behcet's Syndrome

scholarly journals CT Angiography Analysis of Axillary Artery Diameter versus Common Femoral Artery Diameter: Implications for Axillary Approach for Transcatheter Aortic Valve Replacement in Patients with Hostile Aortoiliac Segment and Advanced Lung Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Rajiv Tayal ◽  
Humayun Iftikhar ◽  
Benjamin LeSar ◽  
Rahul Patel ◽  
Naveen Tyagi ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Axillary Artery ◽  
Common Femoral Artery ◽  
Mean Difference ◽  
Transcatheter Aortic Valve ◽  
The Mean ◽  
The Right ◽  
Almost All ◽  
Left Axillary Artery ◽  
Comparable Size

Objective.The use of the axillary artery as an access site has lost favor in percutaneous intervention due to the success of these procedures from a radial or brachial alternative. However, these distal access points are unable to safely accommodate anything larger than a 7-French sheath. To date no studies exist describing the size of the axillary artery in relation to the common femoral artery in a patient population. We hypothesized that the axillary artery is of comparable size to the CFA in most patients and less frequently diseased.Methods.We retrospectively reviewed 110 CT scans of the thoracic and abdominal aorta done at our institution to rule out aortic dissection in which the right axillary artery, right CFA, left axillary artery, and left CFA were visualized. Images were then reconstructed using commercially available TeraRecon software and comparative measurements made of the axillary and femoral arteries.Results.In 96 patients with complete data, the mean sizes of the right and left axillary artery were slightly smaller than the left and right CFA. A direct comparison of the sizes of the axillary artery and CFA in the same patient yielded a mean difference of 1.69 mm ± 1.74. In all patients combined, the mean difference between the axillary artery and CFA was 1.88 mm on the right and 1.68 mm on the left. In 19 patients (19.8%), the axillary artery was of the same caliber as the associated CFA. In 8 of 96 patients (8.3%), the axillary artery was larger compared to the CFA.Conclusions.Although typically smaller, the axillary artery is often of comparable size to the CFA, significantly less frequently calcified or diseased, and in almost all observed cases large enough to accommodate a sheath with up to 18 French.

A new method to denude the endothelium without damage to media: structural, functional, and biomechanical validation

2004 ◽  
Vol 286 (5) ◽  
pp. H1889-H1894 ◽  
Author(s):  
Xiao Lu ◽  
Xiaomei Guo ◽  
Carlos Linares ◽  
Ghassan S. Kassab
Keyword(s):  
Stress State ◽  
Femoral Artery ◽  
Contractile Function ◽  
Common Femoral Artery ◽  
Biomechanical Properties ◽  
New Method ◽  
Balloon Injury ◽  
Stress Strain Relation ◽  
The Media ◽  
The Right

The intimial thickening that occurs in human and animal atherogenesis can be induced by mechanical injury to the endothelium. The objective of the present study was to develop a new method to induce arterial endothelial injury without damage to the media for future investigations of mechanisms of intimal thickening and atherogenesis. A specifically designed catheter was inserted into the common femoral artery of Wistar rats ( n = 9) through an arteriotomic mouth. After application of Tyrode solution containing 0.14 M KCl on the surface of the vessel, the vessel contracted onto the catheter. The catheter was then moved back and forth to scrape away the endothelium. The left common femoral artery of the same rat was subjected to the standard balloon injury model. The two models were evaluated structurally, functionally, and biomechanically. Structurally, we verified that both techniques remove the endothelium, but the balloon method damages the media. Functionally, we examined the contractile response of the artery to [K+] and norepinephrine 2 days after the denudation. We found that the right femoral artery underwent contraction in response to [K+], whereas the left artery did not. Furthermore, neither artery responded to norepinephrine. Biomechanically, we measured the pressure-diameter relationship and the zero-stress state of the vessel and computed the stress-strain relation. The circumferential stretch ratios at 120 mmHg were 1.38 ± 0.08 for the control, 1.41 ± 0.08 ( P > 0.05) for the new method, and 1.56 ± 0.09 for the balloon injury ( P < 0.05). The opening angles at the zero-stress state were 113 ± 21° for the control, 102 ± 18° for the new method ( P > 0.05), and 8 ± 13° for the balloon injury ( P < 0.001). In conclusion, the new method removes the endothelium while maintaining the structure, contractile function, and biomechanical properties of the vessel.

scholarly journals Cystic Adventitial Disease of the Common Femoral Artery: A Rare-Case Report

2022 ◽  
Vol 8 ◽  
Author(s):  
Qilong Wang ◽  
Zhihua Cheng ◽  
Liang Tang ◽  
Qi Wang ◽  
Ping Zhang ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Limb Ischemia ◽  
Common Femoral Artery ◽  
Acute Limb Ischemia ◽  
Appropriate Treatment ◽  
Contrast Enhanced ◽  
Rare Case Report ◽  
The Right ◽  
Enhanced Computed Tomography

Herein, we report the case of a 59-year-old man with intermittent claudication of ~100 m, who complained of resting pain in his lower right extremity. A pelvic, contrast-enhanced, computed tomography scan showed the presence of cystic density in the lower segment of the right common femoral artery. Faced with the risk of acute limb ischemia, we navigated a challenging diagnostic procedure to choose an appropriate treatment for him. Additionally, we performed a pathological investigation of the excised common femoral artery following the excision bypass. On postoperative day 5, the patient was discharged from the hospital. During the 2-year follow-up, no new cysts were discovered, and the patient had favorable prognosis.

Presentation of a True Aneurysm of the Right Common Femoral Artery

2016 ◽  
Vol 19 (2) ◽  
pp. 142-142
Author(s):  
Muhammet Onur Hanedan ◽  
Mehmet Ali Yürük ◽  
Tanıl Özer ◽  
Uğur Ziyrek ◽  
İlker Mataracı
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
True Aneurysm ◽  
The Right

scholarly journals Direct puncture of an occluded common femoral artery as a new approach for endovascular aortic aneurysm repair

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Shigeo Ichihashi ◽  
Tsunehisa Yamamoto ◽  
Francesco Bolstad ◽  
Keitarou Koshi
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
Surgical Procedure ◽  
Arterial Occlusion ◽  
Common Femoral Artery ◽  
Aortic Aneurysms ◽  
Effective Measure ◽  
Direct Puncture ◽  
The Right ◽  
Aneurysm Repair

Abstract Background Abdominal aortic aneurysms (AAA) which present with a hostile access are not uncommon. When an arterial occlusion continuously involves from the iliac to the femoropopliteal artery, endovascular aneurysm repair (EVAR) can become complex, necessitating an adjunctive surgical procedure. The present report outlines a successful EVAR which was conducted without any adjunctive surgical procedure for an AAA complicated by extensive access vessel occlusion. Case presentation The patient, an 82-year-old male, had a fusiform 50 mm infrarenal AAA. He had a history of above knee amputation of the right leg due to a gangrene from Buerger’s Disease. Despite the continuous occlusions of the right external iliac artery (EIA), common femoral artery (CFA), and superficial femoral and profunda femoris artery, limb ischemia was not observed in his right leg. Since revascularization of the occluded right iliac and femoral arteries was deemed to be too complex technically and no ischemic symptoms were observed, EVAR was performed using the occluded access only for the delivery of the stent graft without restoring the flow. Firstly, the occluded right CFA was punctured under ultrasound guidance. Next, a 0.014 in. guidewire and a microcatheter were successfully navigated to the subintimal space of the right common iliac artery (CIA), these were then exchanged with a reentry device. The reentry device allowed the advancement of a guidewire into the true lumen of the right CIA. Then, a 12Fr sheath for delivery of a contralateral limb was advanced via the occluded right access to aorta, and a 16 Fr sheath for delivery of a main body graft was advanced via a patent left iliac artery. A standard EVAR procedure was subsequently performed. Conclusions EVAR was successfully performed for an AAA complicated with an arterial occlusion from the EIA to the SFA using direct puncture of the occluded CFA. This technique could be an effective measure for cases with a hostile access involving the CFA.

Case 16.11

2014 ◽  
pp. 779-780
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Femoral Artery ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Common Femoral Artery ◽  
Severe Stenosis ◽  
Iliac Arteries ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

22-year-old man with a history of multiple episodes of bleeding, bruising, and hematomas Coronal VR image from 3D CE MRA of the abdomen and pelvis (Figure 16.11.1) reveals lobulated aneurysms of both external iliac arteries and the right common femoral artery. Note the severe stenosis of the left external iliac artery distal to the aneurysm....

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