Technique for ipsilateral rescue embolization of common femoral side branch vessel injury.
We report a novel double wire technique for ipsilateral access of the external iliac/common femoral artery transition side-branches in a patient with active extravasation. The case is noteworthy in that asymptomatic extravasation was noted in both the inferior epigastric and deep circumflex iliac branches on femoral angiography prior to intraaortic balloon pump insertion following emergent diagnostic left heart cathetrization. We speculate the side branch injury was related to the J-wire and describe how this complication may be best treated by the ipsilateral technique reported herein.
Bates
Mark C
MC
Department of Surgery, Vascular Medicine Division, West Virginia University School of Medicine, Charleston Division, Charleston, West Virginia, USA.
Campbell
John E
JE
D000789:Angina, Unstable / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D008875:Middle Aged; D012187:Retroperitoneal Space; D012421:Rupture