Abstract
Like other invasive procedures, percutaneous coronary interventions are associated with complications. Most common access site for these procedures is common femoral artery. Complications such as groin and retroperitoneal hematoma can be encountered as well as pseudoaneurysms, arteriovenous fistulas, acute arterial occlusion, and infection. When infected pseudoaneurysm occurs, surgical treatment can be extremely difficult. We present a case of the patient in whom infected pseudoaneurysm of common femoral artery developed after percutaneous coronary intervention and was successfully treated by surgical excision and autoarterial graft insertion.
Highlights
Like other invasive procedures, percutaneous coronary interventions are associated with complications
We present a case of the patient in whom infected pseudoaneurysm of common femoral artery developed after percutaneous coronary intervention and was successfully treated by surgical excision and autoarterial graft insertion
Meta-analyses showed no superiority of vascular closure devices over manual compresion [3, 4], their use has dramatically risen in the last years in order to reduce incidence of access site complications, patient discomfort, and time of immobilization [5]
Summary
Percutaneous coronary interventions are associated with complications. Development of infection at puncture site can be potentiated by more frequent use of vascular closure devices such as AngioSeal [2]. We present a case of the patient in whom infected pseudoaneurysm of common femoral artery developed after percutaneous coronary intervention and was successfully treated by surgical excision and autoarterial graft insertion. A 63-years-old female patient was admitted at our Institute due to evaluation of stable angina pectoris. Her past medical history included arterial hypertension, hyperlipidemia, and heavy smoking. Arterial access was obtained through right common femoral artery, and at the end of intervention, vascular closure device (AngioSeal) was deployed. Clinical examination revealed presence of pulsating mass in the right groin of 3 cm in diameter, and punctiform wound in center with puss discharge (Figure 1)
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