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A cost effective endovascular approach for management of post-catheterization profunda femoris artery pseudoaneurysm using thrombin |
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| Authors: | Bishav Mohan Gaurav Mohan Rohit Tandon Shalinder Kumbkarni Shibba Takkar Chhabra Naved Aslam Naresh Kumar Sood Gurpreet Singh Wander |
| Affiliation: | 1. Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;2. DM Student, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;3. Consultant, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;4. Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;5. Assistant Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;6. Associate Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India;7. Professor & HOD of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India |
| Abstract: | Post-catheterization PSA is one of the most commonly encountered vascular complications of cardiac and peripheral angiographic procedures. We report the case of patient who developed deep-seated profunda femoris artery pseudoaneurysm (PSA) following cardiac catheterization. Despite, repeated ultrasound guided compressions the PSA failed to close and instead produced local site pressure ulcers. The secondary infection followed which precluded use of percutaneous thrombin injection. The PSA was finally closed via a total endovascular technique combining intravascular thrombin injection and coil embolization, thus obviating the need for expensive measures like cover stents or invasive surgical repairs. |
| Keywords: | Pseudoaneurysm Endovascular Thrombin Post-catheterization Ultrasound guided compression |
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