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CardioVascular and Interventional Radiology

, Volume 39, Issue 12, pp 1792–1794 | Cite as

Endovascular Repair of a Large Common Femoral Artery Pseudoaneurysm via a Retrograde Deep Femoral Arterial Access

  • Michael MegalyEmail author
  • Gaurav K. Sharma
  • Amit Kumar
  • Paul Jones
Letter to the Editor

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 [1]. Frequency of CFA anastomotic PAs is about 5.7 % per anastomosis [2]. 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...

Keywords

Popliteal Artery Superficial Femoral Artery Common Femoral Artery Endovascular Repair Systolic Heart Failure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

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

Supplementary material 1 Pre-deployment angiogram showing common femoral artery pseudoaneurysm, and occluded superficial femoral artery.(MOV 7989 kb)

270_2016_1408_MOESM2_ESM.mov (8.1 mb)
Supplementary material 2 Post-deployment angiogram showing repair of the common femoral artery pseudoaneurysm with a gore excluder stent graft (MOV 8322 kb)

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016

Authors and Affiliations

  1. 1.Mercy HospitalChicagoUSA

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