ArticleJournal of vascular surgery cases and innovative techniques2026
Successful balloon-assisted percutaneous thrombin injection for common femoral artery pseudoaneurysm after venoarterial extracorporeal membrane oxygenation decannulation.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Femoral artery pseudoaneurysm is a serious vascular complication after venoarterial extracorporeal membrane oxygenation (VA-ECMO) decannulation, and optimal management remains challenging. We report the case of a 74-year-old man with acute pulmonary embolism who developed a common femoral artery pseudoaneurysm after VA-ECMO removal. Ultrasound-guided compression was unsuccessful, and surgical repair was considered but deferred because of the patient's clinical condition and operating room unavailability. Balloon-assisted percutaneous thrombin injection achieved complete thrombosis without distal embolization or other complications. This technique may represent a feasible, minimally invasive alternative to surgical repair for femoral artery pseudoaneurysms following VA-ECMO decannulation, particularly in high-risk surgical patients.
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