title: A cost effective endovascular approach for management of post-catheterization profunda femoris artery pseudoaneurysm using thrombin.
abstract: Post-catheterization PSA is one of the most commonly encountered vascular complications of cardiac and peripheral angiographic procedures. We report the case of patient who developed deep-seated profunda femoris artery pseudoaneurysm (PSA) following cardiac catheterization. Despite, repeated ultrasound guided compressions the PSA failed to close and instead produced local site pressure ulcers. The secondary infection followed which precluded use of percutaneous thrombin injection. The PSA was finally closed via a total endovascular technique combining intravascular thrombin injection and coil embolization, thus obviating the need for expensive measures like cover stents or invasive surgical repairs.
authors.affiliation: Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India. Electronic address: shibbachhabra@yahoo.com.
authors.forename: Bishav
authors.initials: B
authors.lastname: Mohan
authors.affiliation: DM Student, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Mohan
authors.affiliation: Consultant, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Tandon
authors.affiliation: Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Shalinder
authors.initials: S
authors.lastname: Kumbkarni
authors.affiliation: Assistant Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Shibba Takkar
authors.initials: ST
authors.lastname: Chhabra
authors.affiliation: Associate Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Naved
authors.initials: N
authors.lastname: Aslam
authors.affiliation: Professor of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Naresh Kumar
authors.initials: NK
authors.lastname: Sood
authors.affiliation: Professor & HOD of Cardiology, Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Ludhiana 141001, India.
authors.forename: Gurpreet Singh
authors.initials: GS
authors.lastname: Wander
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000191:economics / Q000379:methods*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003362:Cost-Benefit Analysis; D004621:Embolization, Therapeutic / Q000379:methods; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013917:Thrombin / Q000008:administration & dosage*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D013917:Thrombin
keywords: Endovascular; Post-catheterization; Pseudoaneurysm; Thrombin; Ultrasound guided compression