• Title of article

    Endovascular treatment of a post catheterization pseudoaneurysm: A stitch in time saves nine

  • Author/Authors

    Mahmood, Mazhar National Institute of Cardiovascular Diseases, Pakistan , Ashraf, Tariq National Institute of Cardiovascular Diseases, Pakistan , Yousuf, Kamal Muhammad Liaquat National Hospital, Pakistan , Akhtar, Parveen National Institute of Cardiovascular Diseases, Pakistan

  • From page
    317
  • To page
    319
  • Abstract
    External iliac artery (EIA) pseudoaneurysms are a wellknown complication after arterial catheterization procedures. Most develop as a result of high femoral puncture. Small asymptomatic pseudoaneurysms are usually of no consequence but large symptomatic pseudoaneurysm carries a significant risk of rupture with serious life-threatening consequences and needs to be treated. We report here a case of EIA pseudoaneurysm in a 60 year old male patient after a cardiac catheterization procedure. CT angiography demonstrated a large pseudoaneurysm arising from the EIA and compressing the urinary bladder. Patient complained of abdominal pain and felt dizzy and required transfusions due to rapidly developing anaemia secondary to blood loss. Conventional angiography revealed free extravasation of contrast from the EIA. Percutaneous intervention through femoral access was performed by deploying a covered stent which effectively sealed off the perforation site with no evidence of contrast extravasation.
  • Keywords
    Pseudoaneurysm , External iliac artery , Femoral artery puncture , Covered stent
  • Journal title
    Journal of the Pakistan Medical Association (Centre) JPMA
  • Journal title
    Journal of the Pakistan Medical Association (Centre) JPMA
  • Record number

    2653888