Endovascular therapy for a profunda femoris artery aneurysm which ruptured following intravenous thrombolysis.
Arterial aneurysms are a relative contraindication for systemic thrombolytic therapy due to the risk of rupture. This case report describes rupture of a rare profunda artery aneurysm (PFAA) following systemic thrombolysis for myocardial infarction. Subsequent imaging and endovascular management of this rare complication is presented with a brief discussion.
Ganeshan
A
A
Department of Radiology, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU. aganeshan@hotmail.com
Hawkins
M
M
Warakaulle
D
D
Uthappa
M C
MC
D000368:Aged; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000473:pathology; D015901:Angiography, Digital Subtraction; D000925:Anticoagulants / Q000627:therapeutic use; D000075202:Contraindications; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005263:Femoral Artery / Q000473:pathology; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D018810:Magnetic Resonance Angiography; D008297:Male; D009203:Myocardial Infarction / Q000473:pathology / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
D000925:Anticoagulants; D010959:Tissue Plasminogen Activator