Fibrin sealant repair of a double-necked femoral pseudoaneurysm

Flumignan, Ronald Luiz Gomes; Neto, Henrique Guedes; Araujo, Samuel T; Giulio, Yuri Di; Porta, Camila; Amorim, Jorge Eduardo de; Nakano, Luis Cu

doi:10.1590/1806-9282.64.12.1069

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…7 Pseudoaneurysms vary in size and shape and can be a single lobe, multi-lobed, and can communicate with the feeding artery by more than one connecting neck. 8,9…”

Section: Discussionmentioning

confidence: 99%

Femoral Artery Branch Pseudoaneurysm Resulting From Muscle Strain Injury

Kashtanjeva

2021

Journal for Vascular Ultrasound

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A 66-year-old male presented with pain and swelling isolated to the right thigh after a bout of vigorous exercise on a step treadmill. We report a muscle strain injury resulting in formation of a pseudoaneurysm arising from a branch of the mid superficial femoral artery. The pseudoaneurysm was incidentally discovered during a venous ultrasound examination. Within 2 weeks of its finding, the pseudoaneurysm had resolved.

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“…7 Pseudoaneurysms vary in size and shape and can be a single lobe, multi-lobed, and can communicate with the feeding artery by more than one connecting neck. 8,9…”

Section: Discussionmentioning

confidence: 99%

Femoral Artery Branch Pseudoaneurysm Resulting From Muscle Strain Injury

Kashtanjeva

2021

Journal for Vascular Ultrasound

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“…If it is difficult to determine the specific location and extent of the leak, try extensively using adhesives in the wound, such as Tachosil, Fibrin glue, fibrin sealant combined with fibrinolysis inhibitor, Bioglue [39][40][41][42][43][44], etc., to cure all potential leaks during surgery. Fibrin glue has been used clinically for nearly 40 years, but some research results have shown that in the treatment of lymphatic leakage in other parts, it can not reduce the drainage of lymphatic leakage or shorten the time of catheterization [45].…”

Section: Intrawound Adhesives and Other Non-surgical Treatmentsmentioning

confidence: 99%

Causes and Treatment of Inguinal Lymphadenopathy: Literature Review

Xiong¹,

Zhuang²,

Fu³

2020

IJCEMR

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Objective. To summarize the causes and treatment of inguinal lymphatic leakage, and to provide references for clinical treatment of inguinal lymphatic leakage. Methods. The literatures on the inguinal lymphatic leakage in recent years were reviewed. The main research contents and results of each literature were summarized, and the causes and treatment progress were summarized. Results. There is no uniform standard for the diagnosis of inguinal lymphadenopathy and there are no standardized guidelines for treatment, but there are many reported treatments. Conclusion. The occurrence of lymph leak in the groin area is inevitable, and attention must be paid to prevention. The treatment is difficult, and both the doctor and the patient must be fully prepared before surgery. Treatment should be proactive, flexible selection according to the situation, and a combination of multiple treatment methods can achieve better treatment results.

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“…As the first attempt with an endovascular approach did not exclude the second option, a minimal invasive treatment was tried, together with the infusion of thrombin. Thrombin injection has been described and is widely used to treat post-function arterial pseudoaneurysms, 10,11 but not to treat infectious pseudoaneurysms. In our case it allowed to prevent the backbleeding of the profunda as a safe way to promote the clot formation inside the pseudoaneurysm.…”

mentioning

confidence: 99%

A Bail Out Solution for an Urgent Situation: Endovascular Exclusion and Embolization of an Infected Femoral Pseudoaneurysm

Inaraja-Pérez

Adoración

Jose-Antonio

et al. 2020

Annals of Vascular Surgery

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The aim of this study is to show the utility of the combination of thrombin and endograft to solve an urgent situation related to femoral infections. Case: We present the case of a 91-year-old female patient who underwent a femoral endarterectomy and superficial femoral artery angioplasty and developed a surgical site infection. She was readmitted to the hospital because of bleeding and was operated to suture the femoral patch and to do a plasty of sartorius muscle. Six days after the last intervention a femoral pulsatile mass was noted, and the computed tomography showed a big femoral pseudoaneurysm. Taken again to the theater and via a contralateral puncture a viabahn covered endograft was deployed from the external iliac artery to the yet diseased but patent femoral superficial femoral artery and the pseudoaneurysm was punctured, emptied, and filled with thrombin. The patient was discharged 2 weeks after the last procedure and lived for 10 months (she died because of a nonvascular related cause) with a patent graft and with healed lesions. Conclusions: In this case the endovascular solution was a definitive solution in a very old patient with several comorbidities.

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Fibrin sealant repair of a double-necked femoral pseudoaneurysm

Cited by 7 publications

References 7 publications

Femoral Artery Branch Pseudoaneurysm Resulting From Muscle Strain Injury

Femoral Artery Branch Pseudoaneurysm Resulting From Muscle Strain Injury

Causes and Treatment of Inguinal Lymphadenopathy: Literature Review

A Bail Out Solution for an Urgent Situation: Endovascular Exclusion and Embolization of an Infected Femoral Pseudoaneurysm

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