An unusual complication of a "blind" femoral embolectomy.
Iatrogenic pseudoaneurysms after femoral embolectomy are unusual and have been described in the peroneal, posterior tibial, and popliteal arteries. We present an unusual case of such a pseudoaneurysm originating from a medial superior genicular collateral vessel that was coming off the proximal popliteal artery at an acute angle. It is likely that the embolectomy catheter had accidentally entered this branch, which ruptured when the balloon was inflated. Transcatheter coil embolization resulted in successful thrombosis of the pseudoaneurysm.
Karkos
Christos D
CD
Fifth Department of Surgery, Aristotle University of Thessaloniki, Hippocrateio Hospital, Thessaloniki, Greece. ckarkos@hotmail.com
Karamanos
Dimitrios G
DG
Papadimitriou
Dimitrios N
DN
Demiropoulos
Filippos
F
Zambas
Neophytos
N
Gerassimidis
Thomas S
TS
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D017128:Embolectomy / Q000009:adverse effects* / Q000379:methods; D004621:Embolization, Therapeutic; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000209:etiology / Q000628:therapy*; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome