Pseudoaneurysm of the posterior tibial artery as an early complication after Fogarty catheter thrombectomy.
After angioplasty of the superficial femoral artery at Hunter's canal in a 65-year-old woman thrombosis developed and femoropopliteal bypass grafting was necessary. Four weeks later the graft occluded, successful thrombectomy was performed with a Fogarty catheter and the patient heparinised. Three days later a pseudoaneurysm developed on the posterior tibial artery which was excised and the artery which was longitudinally torn repaired with a vein graft giving good functional results. Complications after Fogarty balloon catheter thrombectomy are relatively rare but Pseudoaneurysms can occur after perforation or rupture of smaller vessels.
van Schil
P
P
Department of General, Thoracic and Vascular surgery, Antwerp University Hospital, Edegem, Belgium.
Vanmaele
R
R
Moses
F
F
De Maeseneer
M
M
De Bock
L
L
D000368:Aged; D000783:Aneurysm / Q000209:etiology*; D000792:Angiography; D001158:Arteries / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D007866:Leg / Q000098:blood supply*