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Treatment of infected pseudoaneurysm of femoral artery after vascular closure device deployment: a practical solution
Predrag Matic1, Srdjan Babic, Slobodan Tanaskovic
1Dedinje Cardiovascular Institute, Medical School, University of Belgrade, 11000 Belgrade, Serbia.
Insights
Percutaneous coronary interventions can cause infected pseudoaneurysms in the femoral artery. Surgical excision and autoarterial graft insertion offer a successful treatment for this rare complication.
Area of Science:
- Cardiovascular Interventions
- Vascular Surgery
- Infectious Disease
Background:
- Percutaneous coronary interventions (PCI) are common but carry risks of access site complications.
- The common femoral artery is the primary access site, with potential issues including hematoma, pseudoaneurysms, and infection.
- Infected pseudoaneurysms pose significant surgical challenges.
Purpose of the Study:
- To report a case of infected pseudoaneurysm of the common femoral artery following PCI.
- To highlight a successful surgical management strategy for this rare complication.
Main Methods:
- A patient developed an infected pseudoaneurysm of the common femoral artery after undergoing PCI.
- The condition was treated with surgical excision of the infected pseudoaneurysm.
- An autoarterial graft was used for reconstruction.
Main Results:
- The surgical intervention successfully treated the infected pseudoaneurysm.
- The patient recovered well following the procedure.
Conclusions:
- Infected pseudoaneurysms of the common femoral artery are a serious complication of PCI.
- Surgical excision combined with autoarterial grafting is an effective treatment option.
Abstract:
Like other invasive procedures, percutaneous coronary interventions are associated with complications. Most common access site for these procedures is common femoral artery. Complications such as groin and retroperitoneal hematoma can be encountered as well as pseudoaneurysms, arteriovenous fistulas, acute arterial occlusion, and infection. When infected pseudoaneurysm occurs, surgical treatment can be extremely difficult. We present a case of the patient in whom infected pseudoaneurysm of common femoral artery developed after percutaneous coronary intervention and was successfully treated by surgical excision and autoarterial graft insertion.
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