Superselective embolization of deep femoral artery branch pseudoaneurysm with a coaxial microcatheter system

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Waldherr ◽  
Kickuth ◽  
Ludwig ◽  
Do ◽  
Triller
Keyword(s):  
Femoral Artery ◽  
Vascular Complications ◽  
Medical Personnel ◽  
Recurrent Bleeding ◽  
Deep Femoral Artery ◽  
Superselective Embolization ◽  
Embolic Materials ◽  
Artery Branch ◽  
Control Angiography

This report describes the use of transluminal coil embolization to treat pseudoaneurysm of deep femoral artery branch in two patients. The pseudoaneurysms had developed after coronary angiography in one patient and after hip replacement in the other. Immediate control angiography after embolization procedures demonstrated complete closure of the pseudoaneurysms. During follow-up of 19 and 3 months, respectively, there was no recurrent bleeding. The aim of this case report is to show the advances in endovascular microcatheter technology, and embolic materials, that made percutaneous transluminal embolization of arterial pseudoaneurysms safe and efficient. In addition, it keeps the medical personnel aware of vascular injuries at the access site related to endovascular procedures as well as vascular complications of total hip arthroplasty. It calls their attention to the possibility of endovascular treatment as an alternative to surgery.

scholarly journals Deep femoral artery branch pseudoaneurysm formation and injury after hip fracture surgery

Medicine ◽  
2018 ◽  
Vol 97 (6) ◽  
pp. e9872 ◽  
Author(s):  
Bin-Fei Zhang ◽  
Yu-Xuan Cong ◽  
Peng-Fei Wang ◽  
Hai Huang ◽  
Hu Wang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Femoral Artery ◽  
Deep Femoral Artery ◽  
Pseudoaneurysm Formation ◽  
Hip Fracture Surgery ◽  
Fracture Surgery ◽  
Artery Branch

The deep femoral artery, a readily available inflow vessel for lower limb revascularization: a single-center experience

Vascular ◽  
2013 ◽  
Vol 21 (2) ◽  
pp. 75-78 ◽  
Author(s):  
Daniel Silverberg ◽  
Basheer Sheick-Yousif ◽  
Dmitry Yakubovitch ◽  
Moshe Halak ◽  
Jacob Schneiderman
Keyword(s):  
Lower Extremity ◽  
Femoral Artery ◽  
Lower Limb ◽  
Bypass Graft ◽  
Graft Patency ◽  
Primary Patency ◽  
Single Center ◽  
Deep Femoral Artery ◽  
Single Center Experience

The deep femoral artery (DFA) offers several advantages as an inflow vessel in lower-extremity bypasses. We report a single-center experience using the DFA as an inflow artery for lower-extremity revascularization. We reviewed all patients who underwent a lower-extremity bypass utilizing the DFA as the inflow vessel. Demographics, indications for surgery, indication for use of the DFA, type of conduits and target vessels were recorded. Follow-up data included resolution of symptoms, bypass graft patency, major amputations and survival. Over 2.5 years, 23 patients were treated with a DFA-inflow bypass. Eighteen (78%) suffered from wounds and five (22%) from rest pain. The proximal, middle and distal DFA was used in 8, 14 and 1 patients, respectively. Indications for using the DFA were limited vein conduit (16) and a hostile groin (5). All patients experienced initial resolution of their ischemic symptoms. The primary patency at two years was 93%. The survival rate was 83%. In conclusion, the DFA is an excellent and underutilized alternative inflow artery in patients requiring lower limb revascularization. It offers excellent patency rates and should be considered in patients with hostile groins or insufficient lengths of a vein conduit.

scholarly journals Endovascular Repair of a Large Deep Femoral Artery Branch Pseudoaneurysm Following a Femur Fracture: A Case Report

EJVES Extra ◽  
2008 ◽  
Vol 15 (3) ◽  
pp. 21-23 ◽  
Author(s):  
V. Dorrucci ◽  
L. Spinamano ◽  
G. Petralia ◽  
F. Griselli ◽  
N. Cibi ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Artery ◽  
Endovascular Repair ◽  
Femur Fracture ◽  
Deep Femoral Artery ◽  
Artery Branch

scholarly journals Incidence of delayed angiographic femoral artery complications using the EXOSEAL vascular closure device

2015 ◽  
Vol 21 (3) ◽  
pp. 401-406 ◽  
Author(s):  
Ramesh Grandhi ◽  
Xiaoran Zhang ◽  
David Panczykowski ◽  
Phillip Choi ◽  
Christopher T Hunnicutt ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Vascular Complications ◽  
Arterial Puncture ◽  
Closure Device ◽  
Arterial Access ◽  
Vascular Closure Devices ◽  
Study Population ◽  
Clinically Significant ◽  
Angiographic Findings

Background and purpose Femoral artery injuries are known complications of percutaneous vascular closure devices (VCDs). We studied the incidence of delayed femoral artery angiographic irregularities after neurointerventional procedures in which the EXOSEAL extravascular closure device was used for femoral arterial puncture closure. Methods Adult patients who underwent femoral arterial puncture closures with an EXOSEAL VCD and had a follow-up femoral artery angiogram from June 2012 through August 2013 were reviewed. A blinded radiologist compared pre-deployment and follow-up femoral arteriograms for the presence of femoral artery stenosis, dissection, pseudoaneurysm, or development of an arteriovenous fistula. Hospital records were reviewed for major or minor complications of the groin site or femoral artery. Results The EXOSEAL VCD achieved hemostasis, without evidence of a groin hematoma or requiring subsequent prolonged manual compression, in 400 of 441 closures following transfemoral arterial access, representing a device success rate of 90.7%. A total of 98 patients underwent 102 repeat angiograms following closure with the EXOSEAL VCD. The average time to the repeat angiogram was 73.5 days (range 0–488, median 28). Follow-up femoral arteriography demonstrated an irregularity in seven cases, all of which were vessel stenoses of <50%. There were no dissections, pseudoaneurysms, infections, or ischemic events in the study population. Conclusions Angiographic irregularities were seen in 6.86% of cases after closure with the EXOSEAL VCD. There were no clinically significant vascular complications. Thus, femoral artery closure with EXOSEAL carries a low risk of clinically significant delayed angiographic findings.

scholarly journals Deep Femoral Artery Branch Pseudoaneurysm After Orthopedic Procedure Requiring Surgical Treatment: A Case Report

2012 ◽  
Vol 17 (2) ◽  
pp. 305-308 ◽  
Author(s):  
Jalalludin Khoshnevis ◽  
Mohammad Reza Sobhiyeh ◽  
Mahtab Fallah Zavareh
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Femoral Artery ◽  
Deep Femoral Artery ◽  
Orthopedic Procedure ◽  
Artery Branch

scholarly journals Application of Combined Superficial Femoral Artery Stenting and Deep Femoral Artery Profundoplasty in Chinese Patients With Lower Extremity Artery Disease

2021 ◽  
Vol 8 ◽  
Author(s):  
Guoqing Chi ◽  
Mingchao Ding
Keyword(s):  
Lower Extremity ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Patency Rate ◽  
Chinese Patients ◽  
Deep Femoral Artery ◽  
Hybrid Operation ◽  
Artery Disease ◽  
Lower Extremity Artery Disease

Objective: Lower extremity artery disease (LEAD) increases sharply with age and results in severe burden in individuals and in society. This study aimed to compare the efficiency of simple superficial femoral artery stenting (SFAS) and the hybrid operation, such as combined SFAS and deep femoral artery profundoplasty (DFAP), in the treatment of Chinese patients with LEAD, classified as Rutherford grades 3–5.Methods: There were 200 patients with LEAD classified as Rutherford grades 3–5 included in the simple SFAS group (n = 100) and the combined SFAS and DFAP group (n = 100).Results: All the patients had median age of 71 years, and there were 143 males (71.5%). Not only the increase rate of ankle brachial index (ABI), but also reduction rate of Rutherford grade, were significantly higher after surgery in the combined SFAS and DFAP group than in the simple SFAS group (P &lt; 0.05 for all). The patency rate of patients in the combined SFAS and DFAP group was significantly higher than that of patients in the simple SFAS group during the follow-up (P &lt; 0.05). Proportion of amputation and claudication distance &lt;200 m had no significant difference between the two groups during the 2-year follow-up (P &gt; 0.05 for all).Conclusion: This study demonstrated that, compared with SFAS, combined SFAS and DFAP improved not only the ABI and the Rutherford grade after surgery but also the patency rate during the follow-up in Chinese patients with LEAD. Hybrid operation has significant value in alleviating clinical symptoms after surgery, and, thereby, improving vascular prognosis in Chinese patients.

Transarterial embolization of peripheral arteriovenous malformations with ethylenevinyl alcohol copolymer - feasibility, technical outcomes, and clinical outcomes

VASA ◽  
2016 ◽  
Vol 45 (6) ◽  
pp. 497-504 ◽  
Author(s):  
Tom De Beule ◽  
Jan Vranckx ◽  
Peter Verhamme ◽  
Veerle Labarque ◽  
Marie-Anne Morren ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Clinical Improvement ◽  
Arteriovenous Malformations ◽  
Clinical Success ◽  
Transarterial Embolization ◽  
Recurrent Bleeding ◽  
Complete Disappearance ◽  
Ethylene Vinyl Alcohol ◽  
Initial Symptoms

Abstract. Background: The technical and clinical outcomes of catheter-directed embolization for peripheral arteriovenous malformations (AVM) using Onyx® (ethylene-vinyl alcohol copolymer) are not well documented. The purpose of this study was to retrospectively assess the safety, technical outcomes and clinical outcomes of catheter-directed Onyx® embolisation for the treatment of symptomatic peripheral AVMs. Patients and methods: Demographics, (pre-)interventional clinical and radiological data were assessed. Follow-up was based on hospital medical records and telephone calls to the patients’ general practitioners. Radiological success was defined as complete angiographic eradication of the peripheral AVM nidus. Clinical success was defined as major clinical improvement or complete disappearance of the initial symptoms. Results: 25 procedures were performed in 22 patients. The principal indications for treatment were pain (n = 10), limb swelling (n = 6), recurrent bleeding (n = 2), tinnitus (n = 3), and exertional dyspnoea (n = 1). Complete radiological success was obtained in eight patients (36 %); near-complete eradication of the nidus was achieved in the remaining 14 patients. Adjunctive embolic agents were used in nine patients (41 %). Clinical success was observed in 18 patients (82%). Major complications were reported in two patients (9 %). During follow-up, seven patients (32 %) presented with symptom recurrence, which required additional therapy in three patients. Conclusions: Catheter-directed embolisation of peripheral AVMs with Onyx® resulted in major clinical improvement or complete disappearance of symptoms in the vast majority of patients, although complete angiographic exclusion of the AVMs occurred in only a minority of patients.

Surgery of the Deep Femoral Artery

1994 ◽  
Author(s):  
Marco P. Merlini ◽  
R. J. A. M. van Dongen ◽  
Michael Dusmet
Keyword(s):  
Femoral Artery ◽  
Deep Femoral Artery
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