Abstract
Femoral Artery Pseudoaneurysm (FAP) is one of the most troublesome complications after various invasive cardiovascular procedures related to the femoral arterial access site. It occurs in 0.8% to 2.2% post Intra Aortic Balloon Pump (IABP) removal Messina et al. (J Vasc Surg 13:593–600, 1991). Doppler flow mapping confirms the diagnosis. Angiography provides information regarding native vessel morphology and the relation of the pseudoaneurysm to major branches. Ultrasound-Guided Compression Repair (UGCR) has been a successful modality of FAP management while minimally invasive percutaneous treatments include thrombin injection, coil embolization and insertion of covered stents. We report a case of iatrogenic FAP who was a high risk candidate for UGCR or surgical repair. She was successfully managed by percutaneous implantation of endovascular covered stent with a rapid return to ambulatory activity and minimised hospital stay. This treatment method may be a safe and effective alternative to surgery in selected patients.
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