Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature

Iatrogenic femoral artery pseudoaneurysms (IFAPs) are not uncommon due to the increase in various minimally-invasive endovascular procedures. Percutaneous thrombin injection is an established technique for large pseudoaneurysms. When ultrasound-guided compression of an aneurysmal neck is not feasibl...

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Main Authors: Ranjan Patel, Tara Prasad Tripathy, Ripan Debbarma, Sudipta Mohakud, Satyapriya Mohanty, Nerbadyswari Deep Bag
Format: Article
Language:English
Published: Vilnius University Press 2023-05-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://zurnalai.vu.lt/AML/article/view/29920
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author Ranjan Patel
Tara Prasad Tripathy
Ripan Debbarma
Sudipta Mohakud
Satyapriya Mohanty
Nerbadyswari Deep Bag
author_facet Ranjan Patel
Tara Prasad Tripathy
Ripan Debbarma
Sudipta Mohakud
Satyapriya Mohanty
Nerbadyswari Deep Bag
author_sort Ranjan Patel
collection DOAJ
description Iatrogenic femoral artery pseudoaneurysms (IFAPs) are not uncommon due to the increase in various minimally-invasive endovascular procedures. Percutaneous thrombin injection is an established technique for large pseudoaneurysms. When ultrasound-guided compression of an aneurysmal neck is not feasible, percutaneous thrombin injection can be combined with endovascular balloon occlusion to prevent leakage of thrombin into the parent artery. We describe a large IFAP following the removal of the femoral dialysis catheter after an inadvertent arterial puncture, which was managed with percutaneous ultrasound-guided (USG) thrombin injection with simultaneous balloon occlusion at the level of the aneurysmal neck without any complications. Follow-up imaging showed thrombosed IFAP without any recurrence.
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spelling doaj.art-d519c1ec331e4e9695021cf869fcffcf2023-05-16T09:46:57ZengVilnius University PressActa Medica Lituanica1392-01382029-41742023-05-0130110.15388/Amed.2023.30.1.9Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of LiteratureRanjan Patel0Tara Prasad Tripathy1Ripan Debbarma2Sudipta Mohakud3Satyapriya Mohanty4Nerbadyswari Deep Bag5Department of Radiodiagnosis, AIIMS, Bhubaneswar, IndiaDepartment of Radiodiagnosis, AIIMS, Bhubaneswar, IndiaDepartment of Radiodiagnosis, AIIMS, Bhubaneswar, IndiaDepartment of Radiodiagnosis, AIIMS, Bhubaneswar, IndiaDepartment of CTVS, AIIMS, Bhubaneswar, IndiaDepartment of Radiodiagnosis, AIIMS, Bhubaneswar, IndiaIatrogenic femoral artery pseudoaneurysms (IFAPs) are not uncommon due to the increase in various minimally-invasive endovascular procedures. Percutaneous thrombin injection is an established technique for large pseudoaneurysms. When ultrasound-guided compression of an aneurysmal neck is not feasible, percutaneous thrombin injection can be combined with endovascular balloon occlusion to prevent leakage of thrombin into the parent artery. We describe a large IFAP following the removal of the femoral dialysis catheter after an inadvertent arterial puncture, which was managed with percutaneous ultrasound-guided (USG) thrombin injection with simultaneous balloon occlusion at the level of the aneurysmal neck without any complications. Follow-up imaging showed thrombosed IFAP without any recurrence. https://zurnalai.vu.lt/AML/article/view/29920Percutaneous thrombin injectionfemoral artery pseudoaneurysmballon assisted
spellingShingle Ranjan Patel
Tara Prasad Tripathy
Ripan Debbarma
Sudipta Mohakud
Satyapriya Mohanty
Nerbadyswari Deep Bag
Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
Acta Medica Lituanica
Percutaneous thrombin injection
femoral artery pseudoaneurysm
ballon assisted
title Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
title_full Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
title_fullStr Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
title_full_unstemmed Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
title_short Percutaneous Thrombin Injection with Balloon Protection for a Large Iatrogenic Femoral Artery Pseudoaneurysm: A Case Report with Review of Literature
title_sort percutaneous thrombin injection with balloon protection for a large iatrogenic femoral artery pseudoaneurysm a case report with review of literature
topic Percutaneous thrombin injection
femoral artery pseudoaneurysm
ballon assisted
url https://zurnalai.vu.lt/AML/article/view/29920
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