Document Detail


Iatrogenic perforation of the medial circumflex artery following femoral venous cannulation for transcatheter aortic valve replacement, presenting with retroperitoneal hematoma and successfully managed by percutaneous embolization and coiling.
MedLine Citation:
PMID:  22121100     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Vascular complications are a major concern during transcatheter aortic valve replacement, and can occur independently of introducer size. Arterial and venous access must be meticulous in order to avoid potentially life-threatening bleeding, which most commonly results from injury to the common femoral or iliac arteries. We report an unusual case of perforation of the medial circumflex branch of the common femoral artery resulting from attempted femoral venous cannulation. Injury to this vessel is characteristically associated with silent retroperitoneal extravasation and is notoriously difficult to recognize and treat. Despite identification of the perforation on contrast-enhanced computed tomography, the anatomical site could only be localized to the medial circumflex branch on highly selective contrast angiography. Thereafter, it was successfully treated percutaneously by embolization and coiling. © 2011 Wiley-Liss, Inc.
Authors:
Joanne Shannon; Azeem Latib; Antonio Colombo
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-25
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
EMO-GVM Centro Cuore Columbus, Via Buonarotti 48, 20145 Milan, Italy; San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, Italy. joshannon1@yahoo.com.
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