Multiple superficial femoral artery pseudoanurysms following sub intimal application of paclitaxel coated technology

Drug coated balloons (DCB) are a commonly used endovascular option for treating patients presenting with symptomatic peripheral vascular disease. DCB have illustrated to increase primary patency and thus have been a popular choice in addressing restenosis caused by neointimal hyperplasia. Pseudoaneurysms (PSA) are a common vascular pathology, the causes of which include iatrogenic, trauma, stent fractures and angioplasty balloon overuse. Herein, we describe the case where a patient developed multiple superficial femoral artery (SFA) PSA potentially secondary to the subintimal application of paclitaxel.