Successful balloon-assisted percutaneous thrombin injection for common femoral artery pseudoaneurysm after venoarterial extracorporeal membrane oxygenation decannulation.
- 1Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Japan.
- 2Department of Cardiology, Japanese Red Cross Kobe Hospital, Kobe, Japan.
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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BibTeX
@article{ijuin2026successful,
title = {{Successful balloon-assisted percutaneous thrombin injection for common femoral artery pseudoaneurysm after venoarterial extracorporeal membrane oxygenation decannulation.}},
author = {Shinichi Ijuin and Naoki Matsunaga and Sayaka Goto and Taiki Moriyama and Yuta Tanaka and Akihiko Inoue},
journal = {Journal of vascular surgery cases and innovative techniques},
year = {2026},
month = sep,
doi = {10.1016/j.jvscit.2026.102510},
url = {https://europepmc.org/article/MED/42903833},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Successful balloon-assisted percutaneous thrombin injection for common femoral artery pseudoaneurysm after venoarterial extracorporeal membrane oxygenation decannulation.
AU - Shinichi Ijuin
AU - Naoki Matsunaga
AU - Sayaka Goto
AU - Taiki Moriyama
AU - Yuta Tanaka
AU - Akihiko Inoue
PY - 2026
DA - 2026/09/16
JO - Journal of vascular surgery cases and innovative techniques
DO - 10.1016/j.jvscit.2026.102510
UR - https://europepmc.org/article/MED/42903833
AB - 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.
SN - 2468-4287
ER -