Novel interventional technique for the treatment of an iatrogenic pseudoaneurysm of the brachial artery

Published:November 15, 2021DOI:https://doi.org/10.1016/j.jccase.2021.10.003

      Highlights

      • To understand the potential risk and management of pseudoaneurysm which is associated with percutaneous catheterization.
      • To understand the treatment options for pseudoaneurysm with endovascular method.
      • To understand the technical tips about intervention to pseudoaneurysm.

      Abstract

      This report presents the successful repair of an iatrogenic brachial artery pseudoaneurysm in a 72-year-old man who had peripheral artery disease and received endovascular treatment. A novel interventional method for treating iatrogenic femoral pseudoaneurysms with Perclose Proglide (Abbott Vascular Devices, Redwood City, CA, USA) has been reported; however, since a direct sheath insertion into the lumen of the pseudoaneurysm is initially required at the first step of this procedure, this strategy may prove limited in cases with small pseudoaneurysms. We describe the complete hemostasis of the pseudoaneurysm that was successfully achieved with endovascular treatment using the Perclose ProGlide suture-mediated closure system without using direct sheath insertion into the lumen of pseudoaneurysm. Our method may be effective in the repair of refractory pseudoaneurysms, in which direct sheath insertion is challenging.

      Keywords

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      References

        • Messina LM
        • Brothers TE
        • Wakefield TW
        • Zelenock GB
        • Lindenauser SM
        • Greenfield LJ
        • Jacobs LA
        • Fellows EP
        • Grube SV
        • Stanley JC.
        Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional versus diagnostic procedures.
        J Vasc Surg. 1991; 13: 593-600
        • Morgan R
        • Belli AM.
        Current treatment methods for postcatheterization pseudoaneurysms.
        J Vasc Interv Radiol. 2003; 14: 697-710
        • Sharma NK
        • Chin KF
        • Modgill VK.
        Pseudoaneurysms of the femoral artery: recommendation for a method of repair.
        J R Coll Surg Edinb. 2001; 46: 195-197
        • Ibrahim K
        • Christoph M
        • Wunderlich C
        • Jellinghaus S
        • Loehn T
        • Akram Y
        • Schoener L
        • Quick S
        • Mierke J
        • Strausser RH
        • Pfluecke C.
        A novel interventional method for treating femoral pseudoaneurysms: results from a monocentric experience.
        EuroIntervention. 2017; 13: 366-370
        • Manoukian SV.
        Predictors and impact of bleeding complications in percutaneous coronary intervention, acute coronary syndromes, and ST-segment elevation myocardial infarction.
        Am J Cardiol. 2009; 104: 9c-15c
        • San Norberto García EM
        • González-Fajardo JA
        • Gutiérrez V
        • Carrera S
        • Vaquero C.
        Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis.
        Interact Cardiovasc Thorac Surg. 2009; 8: 353-357
        • Olsen DM
        • Rodriguez JA
        • Vranic M
        • Ramaiah V
        • Ravi R
        • Diethrich EB.
        A prospective study of ultrasound scan-guided thrombin injection of femoral pseudoaneurysm: a trend toward minimal medication.
        J Vasc Surg. 2002; 36: 779-782
        • Matson MB
        • Morgan RA
        • Belli AM.
        Percutaneous treatment of pseudoaneurysms using fibrin adhesive.
        Br J Radiol. 2001; 74: 690-694
        • Gabrielli R
        • Rosati MS
        • Vitale S
        • Siani A
        • Caselli G.
        Thrombin injection and compression with removable guidewire in the treatment of postcatheterization femoral pseudoaneurysm.
        J Cardiovasc Surg. 2016; 57: 510-513
        • Gabrielli R
        • Rosati MS
        • Vitale S
        • Mallarelli M
        • Chiappa R
        • Siani A
        • Irace L
        • Caselli G.
        Fatal complication after thrombin injection for post-catheterization femoral pseudoaneurysm.
        Thorac Cardiovasc Surg. 2011; 59: 372-375