Successful treatment of a femoral artery pseudoaneurysm mimicking a deep venous thrombosis following cardiac catheterization

Gauthier, Gregory M.; Dieter, Robert S.

doi:10.1002/ccd.10279

Cited by 2 publications

(2 citation statements)

References 40 publications

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“…16,17 Concurrent pulmonary embolism and stroke via the foramen ovale have even been reported, 18 and there are only two reported cases of DVT associated with extravenous compression following cardiac catheterization. 19,20 Because both of these cases resulted from pseudoaneurysm, ours is the first case report of DVT associated with extravenous compression from hematoma following femoral arterial catheterization.…”

Section: Discussionmentioning

confidence: 86%

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

Kim

Lee

et al. 2013

Yeungnam Univ J Med

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Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.

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Section: Discussionmentioning

confidence: 86%

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

Kim

Lee

et al. 2013

Yeungnam Univ J Med

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“…This case report demonstrates that, although color Doppler imaging is the preferred modality in diagnosing venous obstruction following cardiac catheterization, bleeding into the surrounding tissues may in some cases cause severe degradation of the color Doppler images and thus may preclude adequate visualization of the CFV. Due to lack of distinct vein wall echoes, the CFV blends in with the surrounding hypoechogenic, thrombus-like haemorrhages, making differentiation between an intravenous thrombus and a perivascular haematoma compressing the vein from the outside virtually impossible [ 4 , 7 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound in evaluation of post-interventional femoral vein obstruction: a case report

Lønnebakken

Gerdts

Wirsching

et al. 2009

Cardiovasc Ultrasound

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Ultrasound is the preferred imaging modality in diagnosis of vascular complications following cardiac catheterization and intervention. In some cases, however, bleeding surrounding the femoral vessels, may severely distort the color Doppler images, making detection of venous complications especially difficult. This report refers to such a case where post-catheterization haematoma was suspected to cause an obstruction of the femoral vein. Spectral Doppler recordings of blood flow in the common femoral vein, up-stream, distal to the hemorrhagic area, confirmed the diagnosis of obstruction by demonstrating changes in the venous flow pattern in the common femoral vein, consistent with venous hypertension. Due to the poor quality of the ultrasound images, the exact cause of the obstruction had to be established by another imaging modality, not affected by haemorrhages. CT showed that the common femoral vein was compressed at the puncture site by surrounding haemorrhages. Thus, when bleeding due to cardiac catheterization is associated with possible venous obstruction and findings by color Doppler are equivocal due to degradation of the color-Doppler image, detection of venous hypertension by spectral Doppler, performed distal to the bleeding area, strongly supports the presence of venous obstruction where the exact cause may be established by CT.

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Successful treatment of a femoral artery pseudoaneurysm mimicking a deep venous thrombosis following cardiac catheterization

Cited by 2 publications

References 40 publications

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

Ultrasound in evaluation of post-interventional femoral vein obstruction: a case report

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