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.

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