Lee Sang Hoon, Kim Doo Ri, Lee Jeong Sub, Nam In Chul, Ko Su Yeon
J Korean Soc Radiol. 2023 May;84(3):705-712. doi: 10.3348/jksr.2022.0100. Epub 2023 May 18.
Common femoral artery pseudoaneurysm is a potentially serious complication of peripheral angiography. There have been few prior reports of simultaneous pseudoaneurysm in both common femoral arteries after percutaneous access. Here we report the case of a 58-year-old male patient who presented with phlegmon or abscess a few days after bilateral femoral access, after which newly developed bilateral femoral pseudoaneurysm with wide neck was observed on CT angiography 2 months after infection treatment. Because the patient refused surgery for pseudoaneurysm, a stent-graft was inserted in the left side, and percutaneous thrombin injection under US guidance with balloon occlusion was performed for the right side. Most pseudoaneurysms occur immediately after the causative procedure. However, there have been some cases in which pseudoaneurysms may occur several weeks or months later; it is therefore necessary to check the risk factors and to carefully observe the hemostasis site.
股总动脉假性动脉瘤是外周血管造影术的一种潜在严重并发症。经皮穿刺后双侧股总动脉同时出现假性动脉瘤的既往报道较少。在此，我们报告一例58岁男性患者，其在双侧股动脉穿刺几天后出现蜂窝织炎或脓肿，在感染治疗2个月后，CT血管造影显示新出现双侧宽颈股总动脉假性动脉瘤。由于患者拒绝接受假性动脉瘤手术，左侧置入了覆膜支架，右侧在超声引导下进行了球囊封堵经皮注射凝血酶治疗。大多数假性动脉瘤在致病操作后立即出现。然而，也有一些病例中假性动脉瘤可能在数周或数月后出现；因此，有必要检查危险因素并仔细观察止血部位。
