Neurointervention.  2024 Mar;19(1):52-56. 10.5469/neuroint.2024.00017.

Fatal Femoral Pseudoaneurysm Rupture after Endovascular Intervention: A Case Report and Literature Review

• Ok T
• Seo KD
• Lee IH

• KMID: 2552880
• DOI: http://doi.org/10.5469/neuroint.2024.00017

Abstract

A rupture of a femoral pseudoaneurysm is an extremely rare complication of endovascular procedures, but its outcome can be life-threatening. In this report, we present a case of a femoral pseudoaneursym rupture in a patient in their early 90s following intra-arterial mechanical thrombectomy for acute ischemic stroke. Despite receiving medical and surgical interventions, the patient subsequently developed multiple organ failure, ultimately resulting in death. This case emphasizes the critical role of appropriate selection of vascular closure technique and careful post-procedural monitoring, particularly in high-risk patients.

Keyword

Femoral artery; Pseudoaneurysm; Endovascular procedures; Ischemic stroke

Figure

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  Fig. 1. Lower extremities computed tomography images demonstrating a 4.1×2.9 cm right superficial femoral artery pseudoaneurysm (A) with active extravasation (B, C) and high femoral artery bifurcation and heavily calcified tortuous arteries (D). Black arrowhead: site of active extravasation; white arrowhead: femoral head; white arrow: superficial femoral artery; black arrow: deep femoral artery; bold white arrow: bifurcation of femoral artery; circle: pseudoaneurysm at right superficial femoral artery.

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