RESUMO
OBJECTIVE: Pseudoaneurysms are rare, but femoral artery false aneurysms have increased in recent decades. METHODS: They are related to endovascular procedures performed on patients with increased risk for this complication. Pseudoaneurysms generally present with only one neck. This paper describes a femoral artery pseudoaneurysm with two necks that occurred after an endovascular procedure and was successfully treated by duplex-guided fibrin sealant. RESULTS: Pseudoaneurysms are rare, but femoral artery pseudoaneurysms have increased with a discrepant incidence reported from 0.5% to almost 4%, mainly related to the increase of endovascular procedures in recent decades. CONCLUSIONS: The double-necked pseudoaneurysm identification was of utmost importance to guide the clinical decision-making and allowed good outcomes for the patient.
Assuntos
Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/terapia , Procedimentos Endovasculares , Artéria Femoral/diagnóstico por imagem , Adesivo Tecidual de Fibrina/uso terapêutico , Adulto , Procedimentos Endovasculares/métodos , Feminino , Humanos , Ultrassonografia de IntervençãoRESUMO
SUMMARY Pseudoaneurysms are rare, but femoral artery false aneurysms have increased in recent decades. They are related to endovascular procedures performed on patients with increased risk for this complication. Pseudoaneurysms generally present with only one neck. This paper describes a femoral artery pseudoaneurysm with two necks that occurred after an endovascular procedure and was successfully treated by duplex-guided fibrin sealant. Pseudoaneurysms are rare, but femoral artery pseudoaneurysms have increased with a discrepant incidence reported from 0.5% to almost 4%, mainly related to the increase of endovascular procedures in recent decades. The double-necked pseudoaneurysm identification was of utmost importance to guide the clinical decision-making and allowed good outcomes for the patient.
RESUMO Os pseudoaneurismas são raros, mas os aneurismas falsos da artéria femoral aumentaram nas últimas décadas. Eles estão relacionados aos procedimentos endovasculares realizados em pacientes com risco aumentado para esta complicação. Os pseudoaneurismas geralmente apresentam apenas um colo. Este artigo descreve um pseudoaneurisma da artéria femoral com dois colos que ocorreu após um procedimento endovascular e foi tratado com sucesso por selante de fibrina guiado por duplex. Os pseudoaneurismas são raros, mas os pseudoaneurismas da artéria femoral aumentaram com uma incidência discrepante relatada de 0,5% a 4%, principalmente relacionada ao aumento dos procedimentos endovasculares nas últimas décadas. A identificação do pseudoaneurisma de colo duplo foi de extrema importância para orientar a tomada de decisão clínica e permitiu bons resultados para o paciente.
