Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation
Femoral pseudoaneurysm is the most common complication of femoral artery catheterisation usually diagnosed by colour doppler ultrasound. Ultrasound-guided compression has replaced surgery to be the mainstay of therapy due to its high success rate and low complications. The present case is about a 63...
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JCDR Research and Publications Private Limited
2022-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17192/58798_CE(Vi)_F(IS)_PF1(SC_SHU)_PFA(SHU)_PN(SHU).pdf |
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| author | Anilkumar Mannambeth Karikkan Vijayan Ganesan Vinu Adakam Placid Sebastian M Junise |
| author_facet | Anilkumar Mannambeth Karikkan Vijayan Ganesan Vinu Adakam Placid Sebastian M Junise |
| author_sort | Anilkumar Mannambeth Karikkan |
| collection | DOAJ |
| description | Femoral pseudoaneurysm is the most common complication of femoral artery catheterisation usually diagnosed by colour doppler ultrasound. Ultrasound-guided compression has replaced surgery to be the mainstay of therapy due to its high success rate and low complications. The present case is about a 63-year-old female, who presented with pain and swelling in the right groin. She had undergone coronary angioplasty two weeks back. She developed fever, chills, wound induration and necrosis at the puncture site. A laboratory study revealed leucocytosis, elevated Erythrocyte Sedimentation Rate (ESR), and C-Reactive Protein (CRP). Ultrasound doppler showed a 4×2.8×2.7 cm pseudoaneurysm of the right superficial femoral artery with a to-and-fro flow pattern. Computed Tomography (CT) angiogram showed a large narrow neck pseudoaneurysm arising from the anterior wall of the proximal superficial femoral artery just distal to its origin. The right superficial femoral angiogram showed a pseudoaneurysm draining into a large cavity. She underwent an ultrasound-guided thrombin injection of the pseudoaneurysm. A thrombus was formed in the superficial femoral artery after thrombin injection and thrombosuction was done. The necrotic tissue was excised and skin grafting was done after the wound healed. |
| first_indexed | 2024-04-10T21:08:52Z |
| format | Article |
| id | doaj.art-7eb7a380bdd7426d9d6f8b58afcf2d06 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T21:08:52Z |
| publishDate | 2022-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-7eb7a380bdd7426d9d6f8b58afcf2d062023-01-21T10:57:00ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-12-011612OJ03OJ0510.7860/JCDR/2022/58798.17192Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery CatheterisationAnilkumar Mannambeth Karikkan0Vijayan Ganesan1Vinu Adakam2Placid Sebastian3M Junise4Senior Consultant, Department of Cardiology, Aster MIMS Hospital, Kannur, Kerala, India.Senior Specialist, Department of Cardiology, Aster MIMS Hospital, Kannur, Kerala, India.Senior Consultant, Department of Cardiology, Aster MIMS Hospital, Kannur, Kerala, India.Senior Consultant, Department of Cardiology, Aster MIMS Hospital, Kannur, Kerala, India.Senior Specialist and Head, Department of Interventional Radiology, Aster MIMS Hospital, Kannur, Kerala, India.Femoral pseudoaneurysm is the most common complication of femoral artery catheterisation usually diagnosed by colour doppler ultrasound. Ultrasound-guided compression has replaced surgery to be the mainstay of therapy due to its high success rate and low complications. The present case is about a 63-year-old female, who presented with pain and swelling in the right groin. She had undergone coronary angioplasty two weeks back. She developed fever, chills, wound induration and necrosis at the puncture site. A laboratory study revealed leucocytosis, elevated Erythrocyte Sedimentation Rate (ESR), and C-Reactive Protein (CRP). Ultrasound doppler showed a 4×2.8×2.7 cm pseudoaneurysm of the right superficial femoral artery with a to-and-fro flow pattern. Computed Tomography (CT) angiogram showed a large narrow neck pseudoaneurysm arising from the anterior wall of the proximal superficial femoral artery just distal to its origin. The right superficial femoral angiogram showed a pseudoaneurysm draining into a large cavity. She underwent an ultrasound-guided thrombin injection of the pseudoaneurysm. A thrombus was formed in the superficial femoral artery after thrombin injection and thrombosuction was done. The necrotic tissue was excised and skin grafting was done after the wound healed.https://www.jcdr.net/articles/PDF/17192/58798_CE(Vi)_F(IS)_PF1(SC_SHU)_PFA(SHU)_PN(SHU).pdfthrombin injectionto-and-fro flow patternthrombosuction |
| spellingShingle | Anilkumar Mannambeth Karikkan Vijayan Ganesan Vinu Adakam Placid Sebastian M Junise Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation Journal of Clinical and Diagnostic Research thrombin injection to-and-fro flow pattern thrombosuction |
| title | Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation |
| title_full | Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation |
| title_fullStr | Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation |
| title_full_unstemmed | Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation |
| title_short | Infected Pseudoaneurysm with Necrotising Fasciitis Following Femoral Artery Catheterisation |
| title_sort | infected pseudoaneurysm with necrotising fasciitis following femoral artery catheterisation |
| topic | thrombin injection to-and-fro flow pattern thrombosuction |
| url | https://www.jcdr.net/articles/PDF/17192/58798_CE(Vi)_F(IS)_PF1(SC_SHU)_PFA(SHU)_PN(SHU).pdf |
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