Balloon-Assisted Thrombin Injection of a Profunda Femoral Pseudoaneurysm Using Radial Access

Area of Science:

• Vascular Surgery
• Interventional Radiology

Background:

• Profunda femoral artery pseudoaneurysms are rare and difficult to treat with conventional methods due to deep anatomical location.
• Traditional techniques like ultrasound-guided compression or thrombin injection have limitations for this specific arterial site.

Observation:

• A case of a profunda femoral artery pseudoaneurysm in a patient with high surgical risk was encountered.
• The pseudoaneurysm presented a significant technical challenge for standard treatment modalities.

Findings:

• Balloon-assisted thrombin injection (BATI) was successfully employed using radial artery access.
• This approach provided an effective alternative for managing the complex profunda femoral artery pseudoaneurysm.

Implications:

• Radial access BATI represents a viable and potentially less invasive option for treating profunda femoral artery pseudoaneurysms.
• This technique may expand treatment possibilities for patients unsuitable for open surgery or traditional endovascular approaches.