Iatrogenic pseudoaneurysm of the peroneal artery

Kaczynski, Jakub; Beveridge, E; Holdsworth, R. J.

doi:10.1136/bcr-2016-215836

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…The peroneal artery was selected using a 0.027-inch microcatheter (Pro great, Terumo) and was successfully embolised by deploying multiple 3, 4, and 5 mm diameter 0.01800 fibred platinum coils (VortX Diamond-18, Boston Scientific) proximal and distal to the pseudoaneurysm. After the embolization, there were no complications related to the procedure [8] .…”

Section: Discussionmentioning

confidence: 83%

“…Small asymptomatic lesions may only need observation for 4–6 weeks with the expectation of spontaneous recovery. While larger (>3 cm) symptomatic lesions may need open surgical repair, ultrasound-guided compression, ultrasound-guided thrombin injection, or coil embolization [5] , [8] . In this case, the aneurysm size was 20 × 10 × 10 mm, but massive bleeding had occurred; thus, immediate treatment, either open surgical repair, ultrasound-guided compression, ultrasound-guided thrombin injection, or coil embolization, was indicated for the patient ( Fig.…”

Section: Discussionmentioning

confidence: 99%

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Transarterial endovascular coil embolization in managing intractable bleeding from fibular artery: A case report

Darwis

Putri

Elfizri

2021

International Journal of Surgery Case Reports

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Introduction Pseudoaneurysms of the fibular artery are rare. Recently, endovascular techniques have been preferred over open surgery. Case presentation A 50-year-old male patient complained of recurrent bleeding from surgical wounds that had been present for one month. The patient sustained an open cruris fracture. No source of active bleeding was found at the time of exploration. The patient has then performed angiography with coiling and showed a pseudoaneurysm originating from the left fibular artery branch. Surgical debridement and external fixation were performed one day after the angiography and embolization procedure. The patient was discharged on the third day, and there has been no recurrent bleeding ever since. Case discussion A pseudoaneurysm can be thought of as one of the intractable bleeding causes. Recently, the endovascular technique has been commonly used as an alternative treatment if we did not find the source of bleeding in exploration. Many kinds of the literature showed the success of using non-surgical management, especially the coil embolization as the patient received. Conclusion In the management of pseudoaneurysm following trauma which cannot be found in open surgery, an endovascular technique like coil embolization can be the alternative method.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Transarterial endovascular coil embolization in managing intractable bleeding from fibular artery: A case report

Darwis

Putri

Elfizri

2021

International Journal of Surgery Case Reports

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“…Latrogenic pseudoaneurysms are the most common complication after interventional invasive procedures and anatomically are most seen in the femoral artery (10). Patients clinically have a pulsating mass, palpable thrill and murmur (8).…”

Section: Discussionmentioning

confidence: 99%

“…In the treatment of pseudoaneurysm, compression, thrombin or collagen injection, and coil embolization can be applied with USG. In addition, surgical stent or graft implantation and primary surgical repair can be performed (2,(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Blood Biochemistry and Hematological Parameters on the Development of Pseudoaneurysm

Tunçay¹,

Özmen²,

Elçik³

et al. 2020

Kocatepe Tıp Dergisi

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Koroner arter hastalığı halen önde gelen sağlık sorunlarından biridir. Bu durum, kalp hastalıkları için tanı ve tedavi prosedürlerinde artışa sebep olmaktadır. Bununla birlikte, bu prosedürlerle ilişkili komplikasyonlarda da artışa sebep olmaktadır. Bu komplikasyonlardan biri psödoanevrizmalardır. Bu çalışmada, kliniğimizde psödoanevrizma ameliyatı geçiren hastalarda koroner anjiyografiden önce alınan periferik tam kan sayımlarının sonuçlarına göre psödoanevrizmanın gelişimini öngörmede hematolojik ve biyokimyasal parametrelerin yararlı olup olmayacağını tartışmayı amaçladık. GEREÇ VE YÖNTEM: Ocak 2017-Aralık 2019 tarihleri arasında hastanemizde koroner arter hastalığı ön tanısı ile elektif koroner anjiyografi yapılan 7368 hastanın verileri retrospektif olarak incelendi. Çalışmamıza dahil edilme kriterlerini karşılayan 88 hastanın verileri incelendi. BULGULAR: Psödoanevrizma erkek cinsiyet(%60), sağ alt ekstremite(%76.4) ve ana femoral arterde(%71.4) daha sıktı. Grup 1 ile karşılaştırıldığında psödoanevrizma gelişen Grup 2'de işlemden önce beyaz küre sayısı (WBC) (p: 0.042) ve Nötrofil lenfosit oranı (NLR) (p: 0.029) değerleri ve kan üre azotu (BUN) (p:0.050) yüksekti, Hemoglobin (Hb) (p<0.001), hematokrit htc(p<0.001), albumin(p: 0.026) değerleri düşüktü ve istatistiksel olarak anlamlı fark vardı. Platelet Pletekrit Oranı (PPR) (p: 0.205), Platelet Nötrofil Oranı (PNR)(p: 0.205), platelet(p: 0.103), total protein(p: 0.061), kreatin (p:0.060) ve Platekrit(p: 0.151) değerleri arasında istatistiksel olarak anlamlı bir fark yoktu.

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“…Pseudoaneurysms or false aneurysms are caused by physical or biological damage to the adventitial layer of the artery leading to gradual, persistent extravasation of blood into the surrounding soft tissues that connect within the arterial lumen [1] . Mechanical causes for pseudoaneurysms are trauma (fracture, dislocation and penetrating injuries) [2] , [3] , [4] , vascular arterial interventions (anastomotic disruption and arterial cannulation procedures), and orthopaedic interventions (Drills, pins of external fixators, screws and arthroscopic portals) [4] , [5] , [6] . The biological cause for the pseudoaneurysm formation is infection [7] .…”

Section: Introductionmentioning

confidence: 99%

Late-onset pseudoaneurysms of lower limb arteries following late complications of orthopaedic constructs - Two cases and review of literature

Pathinathan

Sivakumaran

Dimantha

et al. 2021

International Journal of Surgery Case Reports

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Introduction & importance Damage to the adventitial layer of an artery leads to pseudoaneurysm formation. Pseudoaneurysms caused by complications of orthopaedic constructs are rare. Case presentation & clinical discussion Case report 01. A 27-year-old male presented with acute bleeding from an external fixator pin site. He had defaulted follow-up due to covid pandemic and presented with malunited distal tibia fracture and loosened Schanz pins. CT angiogram revealed a pseudoaneurysm of the peroneal artery over the loosened pin site. The patient underwent exploration and ligation of the peroneal artery. Case report 02. 86-year-old female presented with a gradually enlarging lump on her left anteromedial thigh for three months duration. She underwent open reduction and internal fixation of ipsilateral femur fracture 17 months back. She was found to have a pseudoaneurysm of the superficial femoral artery caused by exposed screws following bony erosion. Exploration and repair of “neck” the pseudoaneurysm was performed and the recovery was uneventful. Conclusion Pseudoaneurysms are rare but carry devastating complications following various orthopaedic procedures. The common cause for the formation of pseudoaneurysms is trauma during surgery. But loosened Schanz screws and screws are also can be the cause. Early identification of a pseudoaneurysm and proper intervention will reduce morbidities.

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Iatrogenic pseudoaneurysm of the peroneal artery

Cited by 5 publications

References 7 publications

Transarterial endovascular coil embolization in managing intractable bleeding from fibular artery: A case report

Transarterial endovascular coil embolization in managing intractable bleeding from fibular artery: A case report

The Effect of Blood Biochemistry and Hematological Parameters on the Development of Pseudoaneurysm

Late-onset pseudoaneurysms of lower limb arteries following late complications of orthopaedic constructs - Two cases and review of literature

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