Novel interventional technique for the treatment of an iatrogenic pseudoaneurysm of the brachial artery

Abstract

This report presents the successful repair of an iatrogenic brachial artery pseudoaneurysm in a 72-year-old man who had peripheral artery disease and received endovascular treatment. A novel interventional method for treating iatrogenic femoral pseudoaneurysms with Perclose Proglide (Abbott Vascular Devices, Redwood City, CA, USA) has been reported; however, since a direct sheath insertion into the lumen of the pseudoaneurysm is initially required at the first step of this procedure, this strategy may prove limited in cases with small pseudoaneurysms. We describe the complete hemostasis of the pseudoaneurysm that was successfully achieved with endovascular treatment using the Perclose ProGlide suture-mediated closure system without using direct sheath insertion into the lumen of pseudoaneurysm. Our method may be effective in the repair of refractory pseudoaneurysms, in which direct sheath insertion is challenging. <Learning objective: To understand the potential risk and management of pseudoaneurysm which is associated with percutaneous catheterization. To understand the treatment options for pseudoaneurysm with endovascular method.>.

Keywords: Hemostasis; Pseudoaneurysm; Transcatheter technique.