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Iatrogenic femoral vein pseudoaneurysm

Ryutaro Isoda, MD, Ichiro Morita, MD, PhD, Masakazu Yoshida, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques · 2020

doi:10.1016/j.jvscit.2020.03.008 (opens in a new tab)

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Abstract

Femoral vein pseudoaneurysm is a rare complication during percutaneous interventions. We report the case of a patient with common femoral vein pseudoaneurysm caused by unsuccessful manual compression. A 68-year-old woman underwent catheter ablation for atrial fibrillation at another institution. Postoperatively, she experienced right groin pain and leg edema. Doppler ultrasound examination revealed a 2-cm venous pseudoaneurysm as a compressible and hypoechoic lesion. We successfully performed venous aneurysmectomy after failed ultrasound-guided compression therapy. Appropriate procedures must be selected for patients with femoral pseudoaneurysm. The efficacy of hemostatic techniques for preventing vascular complications after venous sheath removal should not be underestimated.

Abstract licence: CC BY-NC-ND

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