title: Iatrogenic Femoral Pseudoaneurysm and Secondary Ipsilateral Deep Vein Thrombosis: An Indication for Early Surgical Exploration.
abstract: Pseudoaneurysm formation often complicates transfemoral interventional procedures. Nonsurgical treatment consists of femoral compression and thrombin injection under ultrasound guidance. We report a 74-year-old man who was diagnosed with a pseudoaneurysm, following coronary angiography. Duplex ultrasound revealed deep vein thrombosis of the ipsilateral common femoral vein. Ultrasound-guided thrombin injection was unsuccessfully performed, and the patient subsequently underwent surgical exploration for repair of the pseudoaneurysm and release of the venous compression. The increased local inflammation, because of the thrombosis, added in surgical difficulties. We conclude that early surgical intervention should be considered as a primary strategy in patients with femoral pseudoaneurysms and deep vein thrombosis secondary to femoral compression.
authors.affiliation: Department of Vascular Surgery, HELIOS Clinic Wuppertal, University Hospital Witten-Herdecke, Wuppertal, Germany. Electronic address: marios_papadakis@yahoo.gr.
authors.forename: Marios
authors.initials: M
authors.lastname: Papadakis
authors.affiliation: Department of Vascular Surgery, HELIOS Clinic Wuppertal, University Hospital Witten-Herdecke, Wuppertal, Germany.
authors.forename: Hubert
authors.initials: H
authors.lastname: Zirngibl
authors.affiliation: Department of Vascular Surgery, HELIOS Clinic Wuppertal, University Hospital Witten-Herdecke, Wuppertal, Germany.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Floros
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography / Q000009:adverse effects*; D019299:Decompression, Surgical; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011677:Punctures; D013536:Suture Techniques; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*