Efficacy and safety of percutaneous treatment of iatrogenic femoral artery pseudoaneurysm by biodegradable collagen injection
Karim Hamraoui, MD*,a,
Sjef M. P. G. Ernst, MD, PhDa,b,
Pascal F. H. M. van Dessel, MD, PhDa,b,
Johannes C. Kelder, MDa,b,
Jurriën M. ten Berg, MD, PhDa,b,
Maarten Jan Suttorp, MD, PhDa,b,
Wybren Jaarsma, MD, PhD, FACCa,b and
Thijs H. W. Plokker, PhD, FACCa,b
a Heart Lung Center, Utrecht, The Netherlands
b Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
View larger version (77K):
[in a new window]
|
Figure 1 Color Doppler ultrasound shows a femoral pseudoaneurysm (F2), its neck (F1) with flow from the femoral artery (A).
|
|
View larger version (118K):
[in a new window]
|
Figure 2 (A) Angiogram via contralateral site of a pseudoaneurysm of the right femoral artery profunda. (B) After insertion of a thin guidewire, an 11F catheter is introduced in the pseudoaneurysm. The collagen is applied through this catheter. (C) Final result after collagen injection, the aneurysm is completely obliterated.
|
|
View larger version (103K):
[in a new window]
|
Figure 3 Angiogram of the right femoral artery via the contralateral site. (A) Bilobulated pseudoaneurysm with its neck arising from the superficial femoral artery. (B) The pseudoaneurysm is completely visualized. (C) Direct injection of collagen through a needle. (D) Final angiographic control, via the contralateral site, after obliteration of the pseudoaneurysm.
|
|
View larger version (95K):
[in a new window]
|
Figure 4 Color Doppler ultrasound image obtained after collagen injection shows complete thrombosis of the pseudoaneurysm.
|
|
|
