An unusual complication of a "blind" femoral embolectomy

Ann Vasc Surg. 2010 Aug;24(6):824.e15-7. doi: 10.1016/j.avsg.2010.02.029. Epub 2010 May 15.

Abstract

Iatrogenic pseudoaneurysms after femoral embolectomy are unusual and have been described in the peroneal, posterior tibial, and popliteal arteries. We present an unusual case of such a pseudoaneurysm originating from a medial superior genicular collateral vessel that was coming off the proximal popliteal artery at an acute angle. It is likely that the embolectomy catheter had accidentally entered this branch, which ruptured when the balloon was inflated. Transcatheter coil embolization resulted in successful thrombosis of the pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy
  • Angioplasty
  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / therapy*
  • Catheterization, Peripheral / adverse effects*
  • Embolectomy / adverse effects*
  • Embolectomy / methods
  • Embolization, Therapeutic
  • Femoral Artery* / diagnostic imaging
  • Humans
  • Iatrogenic Disease*
  • Ischemia / etiology
  • Ischemia / therapy*
  • Male
  • Popliteal Artery* / diagnostic imaging
  • Tomography, X-Ray Computed
  • Treatment Outcome