Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report
BACKGROUND: Although the rate of vascular complications following catheter ablation has been decreasing in the past 10 years, it remains a common and thorny problem in clinical settings. For the majority of iatrogenic pseudoaneurysms (PSAs), non-surgical therapeutic approaches such as ultrasound-gui...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133992/ https://www.ncbi.nlm.nih.gov/pubmed/37123648 http://dx.doi.org/10.1093/ehjcr/ytad186 |
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author | Wang, Jue Zhao, Xin Ma, Changsheng |
author_facet | Wang, Jue Zhao, Xin Ma, Changsheng |
author_sort | Wang, Jue |
collection | PubMed |
description | BACKGROUND: Although the rate of vascular complications following catheter ablation has been decreasing in the past 10 years, it remains a common and thorny problem in clinical settings. For the majority of iatrogenic pseudoaneurysms (PSAs), non-surgical therapeutic approaches such as ultrasound-guided compression repair (UGCR) and ultrasound-guided thrombin injection (UGTI) have been used as first-line regimens. However, suitable treatment for PSA mainly depends on the characteristics of the PSA. CASE SUMMARY: This report presented the case of a 75-year-old woman who suffered from a beaded multi-chamber femoral PSA combined with arteriovenous fistula between the superficial femoral artery and the common femoral vein following radiofrequency ablation of atrial fibrillation. The treatment process of the PSA was tortuous. After a UGCR attempt, the PSA was not occluded. The UGTI successfully clotted the superficial and middle chambers of the PSA. After repeat UGCR, the residual deep chamber of the PSA was expanded, and the skin deteriorated. The complicated PSA was finally treated with surgical repair. DISCUSSION: Appropriate treatment for PSA depends on the anatomical characteristics of the PSA and indications of various treatment measures. |
format | Online Article Text |
id | pubmed-10133992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101339922023-04-28 Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report Wang, Jue Zhao, Xin Ma, Changsheng Eur Heart J Case Rep Case Report BACKGROUND: Although the rate of vascular complications following catheter ablation has been decreasing in the past 10 years, it remains a common and thorny problem in clinical settings. For the majority of iatrogenic pseudoaneurysms (PSAs), non-surgical therapeutic approaches such as ultrasound-guided compression repair (UGCR) and ultrasound-guided thrombin injection (UGTI) have been used as first-line regimens. However, suitable treatment for PSA mainly depends on the characteristics of the PSA. CASE SUMMARY: This report presented the case of a 75-year-old woman who suffered from a beaded multi-chamber femoral PSA combined with arteriovenous fistula between the superficial femoral artery and the common femoral vein following radiofrequency ablation of atrial fibrillation. The treatment process of the PSA was tortuous. After a UGCR attempt, the PSA was not occluded. The UGTI successfully clotted the superficial and middle chambers of the PSA. After repeat UGCR, the residual deep chamber of the PSA was expanded, and the skin deteriorated. The complicated PSA was finally treated with surgical repair. DISCUSSION: Appropriate treatment for PSA depends on the anatomical characteristics of the PSA and indications of various treatment measures. Oxford University Press 2023-04-17 /pmc/articles/PMC10133992/ /pubmed/37123648 http://dx.doi.org/10.1093/ehjcr/ytad186 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Wang, Jue Zhao, Xin Ma, Changsheng Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title | Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title_full | Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title_fullStr | Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title_full_unstemmed | Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title_short | Tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
title_sort | tortuous treatment process of a complex femoral pseudoaneurysm following atrial fibrillation ablation: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133992/ https://www.ncbi.nlm.nih.gov/pubmed/37123648 http://dx.doi.org/10.1093/ehjcr/ytad186 |
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