Introduction
Iatrogenic pseudoaneurysm is a false aneurysm that occurs after arterial
wall injury related to an incomplete hemostatic plug at the puncture
site. A pseudoaneurysm can develop at any arterial site used for
arterial puncture. The most common site for pseudoaneurysm development
is the femoral artery, which is used as access for percutaneous-based
diagnostic and interventional procedures. Uncomplicated pseudoaneurysms
can usually be managed with ultrasound-guided compression or
percutaneous thrombin injection. However, for complicated
pseudoaneurysms and those failing nonsurgical management, surgical
repair of the artery is needed.
We herein report a case of successful repair of complicated
pseudoaneurysm using an access site closure device, Perclose
ProglideTM (Abbott Vascular Inc., Santa Clara, CA,
USA) without a surgical approach.