• Dr. Syed Imtiaz Ahsan
• Dr. Enamul Hakim

Background: A pseudo aneurysm is a condition arising from disruption in arterial wall with blood dissecting into the tissues around the damaged artery creating a sack that communicates with the arterial lumen. A pseudo aneurysm is distinct from true aneurysm which results from dilatation of all layers of arterial wall. Pseudo aneurysms are usually due to injury to arterial wall. Its increasing incidence is usually due to percutaneous arterial intervention for coronary and vascular interventional and diagnostic procedures as well as use of arterial route by drug abusers. Most common and easily approachable route has made the femoral artery site of pseudo aneurysm formation following different procedures. Objective: To find out the etiology beyond the pseudo aneurysms, its diagnosis based on clinical and radiological examination, management of different pseudo aneurysm and post-operative complications including morbidity or mortality of this condition. Patients and Methods: 25 patients with iotrogenic femoral pseudo aneurysm resulting from drug abuse and 15 patients with iotrogenic femoral pseudo aneurysm after femoral catheterization for coronary and peripheral artery angiogram admitted into the vascular surgery emergency department from 2017 to 2018 was taken for study. Excision of sack followed by direct repair, repair with patch angioplasty, excision of damaged intervening portion followed by end to end anastomosis with venous or PTFE tube are the usual methods followed. Results: lotrogenic femoral pseudo aneurysm resulting after femoral catheterization for percutaneous coronary intervention or peripheral vascular intervention was managed by direct repair with or without patch angioplasty without any postoperative morbidity or mortality. But femoral pseudo aneurysm resulting from drug abusers were managed by intervening PTFE tube graft or ligation of femoral artery with resultant loss of limb in some cases. Some drug abusers later presented with severe claudication pain and needed re vascularization with extra anatomic bypass. Some presented with acute limb ischaemia for which revascularization was attempted but failed up with above knee amputation. Conclusion: Pseudo aneurysms carry a high risk of morbidity and mortality. So precautions must be taken to highest order during and after procedure and physicians must be familiar with the clinical findings and potential treatment options.

Lotrogenic femoral pseudo aneurysm, Duplex Ultrasound Studies (DUS), Percutaneous arterial Catheterization, Ultrasound Guided Thrombin Injection (UGTI)

"In Hospital Management and Outcome of Iotrogenic Femoral Pseudo-aneurysm in emergency department of Vascular Surgery of NICVD", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.63-66, June 2019, Available :http://www.jetir.org/papers/JETIR1907A34.pdf

"In Hospital Management and Outcome of Iotrogenic Femoral Pseudo-aneurysm in emergency department of Vascular Surgery of NICVD", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp63-66, June 2019, Available at : http://www.jetir.org/papers/JETIR1907A34.pdf