An Iatrogenic Femoral Artery Pseudoaneurysm Caused by Endovascular Stenting for the Treatment of Anastomotic Stenosis: An Unusual Complication and its Successful Surgical Management

Abstract

The incidence of iatrogenic femoral artery pseudoaneurysm (FAP) has dramatically increased due to marked increase of endovascular procedures in recent years. Once diagnosed, a prompt and optimal treatment should be done as soon as possible to avoid potential complications like thromboembolism, ischemia, rupture and bleeding. There are several treatment options for this disorder. Among them, open surgical repair is preferred when other therapeutic options fail. Here, we present a case of a large iatrogenic femoral artery pseudoaneurysm as a rare complication of endovascular stenting for the treatment of an anastomotic stenosis of previous bypass graft, which was successfully treated with open surgery.

Endovascular repair of a common femoral artery puncture after losing access using a vascular closure device

“… 1 Although this rate has remained stable, the overall incidence has increased owing to an increase in endovascular procedures within the past decade. 2 Various surgical and nonsurgical treatment modalities have been used to treat pseudoaneurysms including ultrasound-guided thrombin injection, compression devices and endovascular stent placement. 3 , 4 , 5 , 6 Herein, we present an alternative technique using a Mynx-Grip vascular closure device (CardinalHealth, Dublin, Ohio) for the management of vessel hemorrhage immediately after the loss of intravascular access and before leaving the endovascular suite to present the formation of the pseudoaneurysm at the access site vessel.…”