Direct percutaneous embolization of a postembolectomy pseudoaneurysm.
A case of direct percutaneous embolization of a large pseudoaneurysm of the posterior tibial artery is presented. The pseudoaneurysm developed following thrombectomy of an occluded femoropopliteal bypass graft with a Fogarty balloon catheter. Two needles were used: a 19-gauge needle to perform embolization and a 22-gauge needle for contrast injection. The two-needle technique allowed rapid, safe embolization with precise angiographic control of the embolization procedure.
Sanchez
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Department of Radiology and Cardiothoracic Surgery, Memorial Medical Center, Jacksonville, FL 32216.
Bertozzi
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D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000209:etiology / Q000628:therapy*; D017128:Embolectomy / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000601:surgery; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation; D017131:Thrombectomy / Q000009:adverse effects; D016909:Tibial Arteries / Q000473:pathology* / Q000601:surgery; D014654:Vascular Patency