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...

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Autores principales: Wang, Jue, Zhao, Xin, Ma, Changsheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
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.
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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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