title: Treatment of an iatrogenic femoral artery pseudoaneurysm with concomitant arteriovenous fistula with percutaneous implantation of an Amplatzer vascular plug.
abstract: Iatrogenic pseudoaneurysms can occur following percutaneous cardiac and peripheral procedures. There are multiple modalities available for the treatment of pseudoaneurysms including ultrasound guided compression repair, ultrasound guided thrombin injection, or endovascular repair with covered stent placement. If these methods are not indicated or unsuccessful, patients typically require open surgical repair. We report a case of a woman with a post-procedural pseudoaneurysm with concomitant arteriovenous fistula who was treated percutaneously with the implantation of an Amplatzer vascular plug. This novel technique was safe and effective and allowed our patient to avoid the morbidity and mortality associated with surgical repair.
authors.affiliation: Swedish Heart and Vascular Institute, Swedish Medical Center, Seattle, Washington, USA.
authors.forename: Ranjith
authors.initials: R
authors.lastname: Shetty
authors.forename: Kapildeo
authors.initials: K
authors.lastname: Lotun
mesh_terms: D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000601:surgery; D006328:Cardiac Catheterization / Q000379:methods; D017115:Catheter Ablation / Q000009:adverse effects* / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D061214:Patient Safety; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography; D018570:Risk Assessment; D055989:Septal Occluder Device; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex