Use of duplex guided stent graft placement to prevent bleeding from previously thrombosed pseudo-aneurysms during thrombolytic therapy for acute popliteal artery occlusion.
We present a 68-year-old female who developed multiple pseudo-aneurysms (PSAs) following cardiac catheterization via the right groin. During subsequent thrombin injection of PSAs, the patient developed acute occlusion of the popliteal artery. A covered stent was placed to obliterate the PSAs and allow for successful endovascular treatment of the occlusion without hemorrhage from the previous arteriotomy sites. This report demonstrates a safe and successful method to treating high surgical risk patients with recent PSA's and a necessity for thrombolysis.
Maimonides Medical Center, Brooklyn, NY, USA Dr.TrevorDerDerian@gmail.com.
Trevor
T
DerDerian
Lutheran Medical Center, Brooklyn, NY, USA.
Anil
A
Hingorani
Maimonides Medical Center, Brooklyn, NY, USA.
James
J
Gallagher
Lutheran Medical Center, Brooklyn, NY, USA.
Enrico
E
Ascher
D000208:Acute Disease; D000368:Aged; D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001157:Arterial Occlusive Diseases / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007269:Injections, Intra-Arterial; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D011859:Radiography; D015607:Stents; D013917:Thrombin / Q000008:administration & dosage / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D018084:Ultrasonography, Interventional / Q000379:methods*
D013917:Thrombin
Pseudo-aneurysm; duplex guided; stent graft; thrombolytic therapy; ultrasound