Indian Journal of Critical Care Case Report

Register      Login

VOLUME 3 , ISSUE 4 ( July-August, 2024 ) > List of Articles

CASE REPORT

Iatrogenic Pseudoaneurysm to Iatrogenic Microembolization: A Case Report of Managing Such Injury

Abhijeet Anand, Shashikant Sharma, Prabhat Kumar, Tanweer Qamar, Kishore Jhunjhunwala

Keywords : Arterial thrombosis, Case report, Iatrogenic, Pseudoaneurysm, Ultrasound

Citation Information : Anand A, Sharma S, Kumar P, Qamar T, Jhunjhunwala K. Iatrogenic Pseudoaneurysm to Iatrogenic Microembolization: A Case Report of Managing Such Injury. 2024; 3 (4):111-113.

DOI: 10.5005/jp-journals-11006-0117

License: CC BY-NC 4.0

Published Online: 21-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

This case report describes the management of a young male patient with a history of substance abuse who presented with altered sensorium and severe aspiration pneumonitis-induced severe acute respiratory distress syndrome (ARDS) in septic shock. The patient also had right leg injury swelling, raised creatine phosphokinase (CPK), and acute kidney injury. The article highlights the use of ultrasound (US)-guided thrombin injection in treating a small, narrow-neck femoral artery pseudoaneurysm (PA) and the subsequent development of iatrogenic microembolization of the superficial femoral artery (SFA). The case also underscores the importance of close monitoring, prompt intervention, and decision-making in managing iatrogenic PAs caused by arterial cannulation.


PDF Share
  1. Olinic DM, Stanek A, Tătaru DA, et al. Acute limb ischemia: an update on diagnosis and management. J Clin Med 2019;8(8). DOI: 10.3390/jcm8081215
  2. Stone PA, Campbell JE, AbuRahma AF. Femoral pseudoaneurysms after percutaneous access. J Vasc Surg 2014;60(5):1359–1366. DOI: 10.1016/j.jvs.2014.07.035
  3. Saad NE, Saad WE, Davies MG, et al. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 2005;25(Suppl 1):S173–S189. DOI: 10.1148/rg.25si055503
  4. Kurzawski J, Sadowski M, Janion-Sadowska A. Complications of percutaneous thrombin injection in patients with postcatheterization femoral pseudoaneurysm. J Clin Ultrasound 2016;44(3):188–195. DOI: 10.1002/jcu.22274
  5. Dzijan-Horn M, Langwieser N, Groha P, et al. Safety and efficacy of a potential treatment algorithm by using manual compression repair and ultrasound-guided thrombin injection for the management of iatrogenic femoral artery pseudoaneurysm in a large patient cohort. Circ Cardiovasc Interv 2014;7(2):207–215. DOI: 10.1161/CIRCINTERVENTIONS.113.000836
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.