Iatrogenic peroneal artery pseudoaneurysm treated by transluminal coil embolization

An 82-year-old male presented to our institution with sudden onset pain in the bilateral lower extremities. Emergent angiography showed thrombus in the right common femoral and left popliteal arteries. Thromboembolectomy was performed using a Fogarty-balloon catheter through the bilateral femoral arteriotomy. A few hours later, he complained of pain in the left calf. Emergent angiography showed a 3.6 × 2.4 cm pseudoaneurysm at the peroneal artery (PA). Coil embolization to the pseudoaneurysm of PA was performed with 8 coils. It is considered that use of the Fogarty-balloon catheter without angiographic guidance caused the pseudoaneurysm for this case. Endovascular coil embolization for a PA pseudoaneurysm is safer, less invasive and more effective.