Endovascular treatment of a post catheterization pseudoaneurysm: A stitch in time saves nine.
External iliac artery (EIA) pseudoaneurysms are a well-known complication after arterial catheterization procedures. Most develop as a result of high femoral puncture. Small asymptomatic pseudoaneurysms are usually of no consequence but large symptomatic pseudoaneurysm carries a significant risk of rupture with serious life-threatening consequences and needs to be treated. We report here a case of EIA pseudoaneurysm in a 60 year old male patient after a cardiac catheterization procedure. CT angiography demonstrated a large pseudoaneurysm arising from the EIA and compressing the urinary bladder. Patient complained of abdominal pain and felt dizzy and required transfusions due to rapidly developing anaemia secondary to blood loss. Conventional angiography revealed free extravasation of contrast from the EIA. Percutaneous intervention through femoral access was performed by deploying a covered stent which effectively sealed off the perforation site with no evidence of contrast extravasation.
National Institute of Cardiovascular Diseases, Karachi.
Mazhar
M
Mahmood
National Institute of Cardiovascular Diseases, Karachi.
Tariq
T
Ashraf
National Institute of Cardiovascular Diseases, Karachi.
Parveen
P
Akhtar
Liaquat National Hospital, Karachi.
Kamal Muhammad
KM
Yousuf
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D006328:Cardiac Catheterization; D057510:Endovascular Procedures; D005263:Femoral Artery; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed