Transaneurysmal Access with Suture-Mediated Closure Device to Treat Iatrogenic Common Femoral Artery Pseudoaneurysm under Ultrasound Guidance: A Novel Technique

Mohd Shariq; Krishna Prasad Bellam-Premnath; Shady Hegab

doi:10.1055/s-0043-1777255

Journal of Clinical Interventional Radiology ISVIR, Table of Contents

CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2024; 08(02): 090-093
DOI: 10.1055/s-0043-1777255

Case Series

Transaneurysmal Access with Suture-Mediated Closure Device to Treat Iatrogenic Common Femoral Artery Pseudoaneurysm under Ultrasound Guidance: A Novel Technique

Mohd Shariq

¹Department of Clinical & Interventional Radiology, Queens Hospital, Romford, United Kingdom

,

Krishna Prasad Bellam-Premnath

¹Department of Clinical & Interventional Radiology, Queens Hospital, Romford, United Kingdom

,

Shady Hegab

¹Department of Clinical & Interventional Radiology, Queens Hospital, Romford, United Kingdom

› Author Affiliations

Abstract

We describe three cases that were complicated by access site-related common femoral artery pseudoaneurysm following therapeutic endovascular procedures. In all the cases, presentation was with painful swelling in the right groin that was tender and pulsatile on palpation; further evaluation with color Doppler ultrasound revealed pseudoaneurysm at the access site in common femoral artery. Ultrasound-guided transaneurysmal access was obtained and ProStyle (Abbott Vascular, Redwood City, California, United States) suture-mediated device was used to treat the pseudoaneurysm safely and successfully.

Keywords

pseudoaneurysm - ultrasound - closure device - transaneurysmal

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References

References
1 Ahmad F, Turner SA, Torrie P, Gibson M. Iatrogenic femoral artery pseudoaneurysms–a review of current methods of diagnosis and treatment. Clin Radiol 2008; 63 (12) 1310-1316
2 Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 2005; 25 (Suppl. 01) S173-S189
3 Chatterjee T, Do DD, Kaufmann U, Mahler F, Meier B. Ultrasound-guided compression repair for treatment of femoral artery pseudoaneurysm: acute and follow-up results. Cathet Cardiovasc Diagn 1996; 38 (04) 335-340
4 Krueger K, Zaehringer M, Strohe D, Stuetzer H, Boecker J, Lackner K. Postcatheterization pseudoaneurysm: results of US-guided percutaneous thrombin injection in 240 patients. Radiology 2005; 236 (03) 1104-1110
5 Gabrielli R, Rosati MS, Vitale S. et al. Fatal complication after thrombin injection for post-catheterization femoral pseudoaneurysm. Thorac Cardiovasc Surg 2011; 59 (06) 372-375
6 Ergun O, Çeltikçi P, Güneş Tatar İ, Yılmaz M, Hekimoğlu B. Percutaneous thrombin injection treatment of a femoral artery pseudoaneurysm with simultaneous arterial balloon occlusion: case report and review of the literature. Turk Kardiyol Dern Ars 2016; 44 (08) 684-689
7 Bhat R, Chakraverty S. Femoral artery thrombosis following percutaneous treatment with thrombin injection of a femoral artery pseudoaneurysm: a case report. Cardiovasc Intervent Radiol 2007; 30 (04) 789-792
8 Noori VJ, Eldrup-Jørgensen J. A systematic review of vascular closure devices for femoral artery puncture sites. J Vasc Surg 2018; 68 (03) 887-899
9 Robken J, Shammas NW. Novel technique to treat common femoral artery pseudoaneurysm using Angio-Seal closure device. Int J Angiol 2016; 25 (04) 266-270
10 Jiaxin L, Yan L, Sheng Z, Zhiyi D, Jichang W, Shaoying L. Case report: successful and effective percutaneous closure of a deep femoral artery pseudoaneurysm using proglide device. Front Surg 2023; 10: 1109243
11 Inagaki Y, Nakao M, Arashi H, Yamaguchi J. Novel interventional technique for the treatment of an iatrogenic pseudoaneurysm of the brachial artery. J Cardiol Cases 2021; 25 (04) 250-253
12 Maeno R, Taniguchi R, Suhara M, Mochizuki Y, Takayama T, Hoshina K. Area reduction of perforation with a small-size sheath technique for iatrogenic femoral artery pseudoaneurysm with a large perforation. J Vasc Surg Cases Innov Tech 2023; 9 (03) 101235