A cost effective endovascular approach for management of post-catheterization profunda femoris artery pseudoaneurysm using thrombin

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