Emergency Point-of-Care Ultrasound Diagnosis of a Femoral Artery Pseudoaneurysm
Journal of emergency medicine
Background Iatrogenic femoral artery pseudoaneurysm formation after intervention of the femoral artery may present weeks after intervention. We report a case of a patient with delayed pseudoaneurysm diagnosis that was ultimately diagnosed with bedside ultrasound. Importantly, our case demonstrates a patient who had a left-sided atherectomy and angioplasty with microcatheter access of the right femoral artery. Case Report A 68-year-old man with multiple comorbidities presented to the Emergency Department (ED) with right inguinal pain, swelling, and overlying skin changes 17 days after an interventional radiology-guided left-sided femoral artery atherectomy and angioplasty. His first postoperative ED visit at an outside hospital led to the diagnosis of a hematoma vs. abscess, with attempted bedside drainage. On presentation to our ED, a bedside ultrasound confirmed arterial pseudoaneurysm formation of the right femoral artery.
Canter, Danielle Marie; Difranco, Mary Ann; Landefeld, Kevin; Butts, Christine; and Kaban, Nicole L., "Emergency Point-of-Care Ultrasound Diagnosis of a Femoral Artery Pseudoaneurysm" (2020). School of Medicine Faculty Publications. 1221.