Femoral artery pseudoaneurysm pdf

Many options, both surgical and nonsurgical, have been implemented as means to treat pseudoaneurysms such as thrombin injection, imageguided compression, and percutaneous closure devices. Pseudoaneurysm false aneurysm is a collection of blood that collects between the middle and outer layers of an artery. Iatrogenic common femoral artery pseudoaneurysm is a wellknown complication to vascular access. Surgical treatment of a pseudoaneurysm of the femoral artery. Risk factors include antiplatelet agents, anticoagulants, larger sheath size, puncture site below common femoral artery, and emergency procedures. The most common cause of femoral pseudoaneurysm is iatrogenic. The distinction between femoral artery pseudoaneurysms and other. Femoral pseudoaneurysms requiring surgical treatment. Pseudoaneurysm is the most common femoral access complication following angiography. Treatment of femoral artery pseudoaneurysm with percutaneous thrombin injection. Surgical treatment of a pseudoaneurysm of the femoral artery secondary to a gunshot wound.

Femoral artery psa 240 pts with femoral psa n 232 or brachial artery n 8 treated with 260 usguided thrombin injections 107 44% received anticoagulation therapy 159 66% received antiplatelet therapy primary and secondary success rates 96 and 100% for simple psa thromboembolic complications occurred in 2 pts and. It occurs as a result of the effect of any injurious stimulus against this structure, leading to the leakage of blood into an external fibrous compartment containing the hematoma. The presence of a pulsatile mass had a 100% positive and negative predictive value. It may lead to serious consequences, such as major amputation or even death 9. Femoral artery psas can be iatrogenic, for example, develop following cardiac catheterization or at the anastomotic site of previous surgery. Infected femoral artery pseudoaneurysm in drug addicts core. Infected femoral artery pseudoaneurysms ifaps are one of the most common arterial complications in intravenous drug abusers1 fig 1. Femoral pseudoaneurysms after percutaneous access journal of. Current treatment methods for postcatheterization pseudoaneurysms.

Ligation with revascularization by direct segment replacement or extra anatomical bypass. A pulsatile hematoma, pseudoaneurysm, may be the result of any vascular intervention. The distinction between femoral artery pseudoaneurysms and other causes of groin masses. The formation of pseudoaneurysm in the femoral artery after cardiac catheterization is a wellrecognized complication occurring in 1%4% of cases. Pseudoaneurysm is a condition arising from disruption in arterial wall with blood dissecting into the tissues around the. Pdf treatment of femoral artery pseudoaneurysm with. Pdf femoral pseudoaneurysms complicating cardiac catheterization results in significant morbidity. Femoral artery pseudoaneurysm is the most common arterial injury caused by femoral artery catheterization. Postcatheterization femoral pseudoaneurysms american. Femoral artery pseudoaneurysms are usually iatrogenic, as the femoral artery is the vessel of choice for most endovascular arterial interventions. Pdf femoral artery pseudoaneurysm current diagnosis and. Pseudoaneurysms can develop in any artery, but theyre most common in the femoral artery, especially if youve undergone a cardiac catheterization procedure.