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Transcatheter coil embolization of profunda femoris artery branch pseudoaneurysms in two cases
Transcatheter coil embolization of profunda femoris artery branch pseudoaneurysms in two cases
Mehmet H. Atalar, Orhan Solak
Department of Radiology, Medicine Faculty of Cumhuriyet University, Sivas
Pseudoaneurysms of the profunda femoris artery (PFA)
are uncommon, usually caused by a traumatic or iatrogenic
injury. Symptoms usually become manifest by pain of sudden
onset and swelling in the upper thigh due to hemorrhage.
In the past, the treatment of pseudoaneurysms was
surgical repair. Recently, transcatheter embolization has
been recognized as an alternative treatment. We report on
two male patients who presented with a pulsatile mass in
the thigh following a femoral shaft fracture and a penetrating
injury, respectively. The diagnosis of pseudoaneurysms
was made by Doppler ultrasonography and/or angiography.
In one patient, the pseudoaneurysm was 3x3 cm in size and
originated from one of the perforating branches of the right
PFA. In the other, it measured 1.5x1.5 cm and originated
from the ascending branch of the lateral femoral circumflex
artery of the left PFA. Both patients were successfully treated
by selective arterial embolization with platinum coils.
Keywords : Aneurysm, false/radiography/therapy; angiography; catheterization; embolization, therapeutic/methods; femoral artery/ injuries/surgery; radiography, interventional
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