Published: 2021-01-29

Case study successful use of stent graft in post-catherization massive pseudoaneurysm of femoral artery with wide neck

Brajesh Kumar Kunwar, Farah Ingle, Atul Ingle, Chandrasekhar Tulasigeri


Pseudoaneurysms are not rare and can occur due to varied reasons including percutaneous vascular access. If left untreated, pseudoaneurysms can be fatal. Here, we have presented a classic case study where a large pseudoaneurysm of left femoral artery with very wide neck was closed using stent graft.  A 55 years old male was presented with severe painful large mass in left groin.  The mass was soft tissue swelling with severe tenderness and pulsatile in nature. The doppler suggested it to be filled with blood and communicating with femoral artery hence diagnosed as pseudoaneurysm. Attempt was made to compress the neck which was large not clearly defined, hence failed. Multiple interventional and surgical options of closure of pseudoaneurysm was discussed.  Patient was taken for stent graft deployment in cath lab. Check angiogram showed nicely flowing femoral artery with no signs of pseudoaneurysm. The patient immediately improved with decrease in pain and swelling.


Angiography, Peripheral, Pseudoaneurysm, Stent

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Webber GW, Jang J, Gustavson S, Olin JW. Contemporary management of postcatheterization pseudoaneurysms. Circulation. 2007;115(20):2666-74.

Kassem HH, Elmahdy MF, Ewis EB, Mahdy SG. Incidence and predictors of post-catheterization femoral artery pseudoaneurysms. Egyptian Heart J. 2013;65(3):213-21.

Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005;25(1):S173-89.

Spotnitz WD. Fibrin sealant the only approved hemostat, sealant, and adhesive—a laboratory and clinical perspective. International Scholarly Res Notices. 2014;2014.

Kouvelos GN, Papas NK, Arnaoutoglou EM, Papadopoulos GS, Matsagkas MI. Endovascular repair of profunda femoral artery false aneurysms using covered stents. Vascular. 2011;19(1):51-4.