Endovascular Repair of a Large Common Femoral Artery Pseudoaneurysm via a Retrograde Deep Femoral Arterial Access
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To the Editor,
A pseudoaneurysm (PA) is a hematoma occurring from a leaking hole in the arterial wall. Common femoral artery psuedoaneurysms (CFA PAs) are most commonly encountered as a result of a recent angiographic procedure. Less commonly, they occur as a result of penetrating trauma or at the anastomosis of a prior vascular surgical procedure. The incidence of femoral PAs ranges from 0.2 to 0.5 % after diagnostic angiography and from 2 to 8 % after coronary interventions . Frequency of CFA anastomotic PAs is about 5.7 % per anastomosis . Treatment options for CFA PA include conventional open surgery, US-guided percutaneous thrombin injection, and endovascular repair. Endovascular repair is performed percutaneously with stent grafts. The usual access site is via a contralateral “up and over” ante-grade approach through the contralateral CFA. Other potential access sites include the brachial artery or less commonly the axillary artery which are not very popular due to...
KeywordsPopliteal Artery Superficial Femoral Artery Common Femoral Artery Endovascular Repair Systolic Heart Failure
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Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Supplementary material 1 Pre-deployment angiogram showing common femoral artery pseudoaneurysm, and occluded superficial femoral artery.(MOV 7989 kb)
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