Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report

Common femoral artery pseudoaneurysm is a potentially serious complication of peripheral angiography. There have been few prior reports of simultaneous pseudoaneurysm in both common femoral arteries after percutaneous access. Here we report the case of a 58-year-old male patient who presented wit...

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Main Authors: Sang Hoon Lee, Doo Ri Kim, Jeong Sub Lee, In Chul Nam, Su Yeon Ko
Format: Article
Language:English
Published: The Korean Society of Radiology 2023-05-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2022.0100
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author Sang Hoon Lee
Doo Ri Kim
Jeong Sub Lee
In Chul Nam
Su Yeon Ko
author_facet Sang Hoon Lee
Doo Ri Kim
Jeong Sub Lee
In Chul Nam
Su Yeon Ko
author_sort Sang Hoon Lee
collection DOAJ
description Common femoral artery pseudoaneurysm is a potentially serious complication of peripheral angiography. There have been few prior reports of simultaneous pseudoaneurysm in both common femoral arteries after percutaneous access. Here we report the case of a 58-year-old male patient who presented with phlegmon or abscess a few days after bilateral femoral access, after which newly developed bilateral femoral pseudoaneurysm with wide neck was observed on CT angiography 2 months after infection treatment. Because the patient refused surgery for pseudoaneurysm, a stent-graft was inserted in the left side, and percutaneous thrombin injection under US guidance with balloon occlusion was performed for the right side. Most pseudoaneurysms occur immediately after the causative procedure. However, there have been some cases in which pseudoaneurysms may occur several weeks or months later; it is therefore necessary to check the risk factors and to carefully observe the hemostasis site.
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spelling doaj.art-61d5b9de89974c41afd69650ae575eb02023-05-30T14:06:50ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052023-05-01843705712Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case ReportSang Hoon LeeDoo Ri KimJeong Sub LeeIn Chul NamSu Yeon KoCommon femoral artery pseudoaneurysm is a potentially serious complication of peripheral angiography. There have been few prior reports of simultaneous pseudoaneurysm in both common femoral arteries after percutaneous access. Here we report the case of a 58-year-old male patient who presented with phlegmon or abscess a few days after bilateral femoral access, after which newly developed bilateral femoral pseudoaneurysm with wide neck was observed on CT angiography 2 months after infection treatment. Because the patient refused surgery for pseudoaneurysm, a stent-graft was inserted in the left side, and percutaneous thrombin injection under US guidance with balloon occlusion was performed for the right side. Most pseudoaneurysms occur immediately after the causative procedure. However, there have been some cases in which pseudoaneurysms may occur several weeks or months later; it is therefore necessary to check the risk factors and to carefully observe the hemostasis site.https://doi.org/10.3348/jksr.2022.0100aneurysmfalsefemoral arteryarterial catheterizationperipheral
spellingShingle Sang Hoon Lee
Doo Ri Kim
Jeong Sub Lee
In Chul Nam
Su Yeon Ko
Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
Journal of the Korean Society of Radiology
aneurysm
false
femoral artery
arterial catheterization
peripheral
title Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
title_full Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
title_fullStr Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
title_full_unstemmed Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
title_short Delayed Bilateral Common Femoral Pseudoaneurysm after Percutaneous Access with Interventional Management: A Case Report
title_sort delayed bilateral common femoral pseudoaneurysm after percutaneous access with interventional management a case report
topic aneurysm
false
femoral artery
arterial catheterization
peripheral
url https://doi.org/10.3348/jksr.2022.0100
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AT jeongsublee delayedbilateralcommonfemoralpseudoaneurysmafterpercutaneousaccesswithinterventionalmanagementacasereport
AT inchulnam delayedbilateralcommonfemoralpseudoaneurysmafterpercutaneousaccesswithinterventionalmanagementacasereport
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