case_images: PMC10894047_01
case_images: CT reveals a high femoral bifurcation and an aneurysm arising from the deep femoral artery.
case_images: CRIC2024-3426669.001.jpg
case_images: PMC10894047_01_CRIC2024-3426669.001.jpg
case_images: fig1
case_images: Computed tomography showed a high femoral bifurcation and an aneurysm communicating with the DFA (Figure 1).
case_images: (a) Angiography shows an aneurysm arising from the deep femoral artery. (b) Balloon dilatation and thrombin injection into the aneurysm. (c) Postthrombin angiogram.
case_images: CRIC2024-3426669.002.jpg
case_images: PMC10894047_01_CRIC2024-3426669.002.jpg
case_images: fig2
case_images: Angiography showed an aneurysm arising from the DFA (Figure 2). One thousand units of a thrombin solution diluted to 50% with contrast medium was injected, so that it filled the pseudoaneurysm (Figure 2(b)). The final angiogram showed no aneurysm (Figure 2(c)), and no complication occurred during the procedure.
case_images: (a) Echography shows the recurrence of the pseudoaneurysm (2.1 x 4.9 cm). (b) An arteriovenous fistula is visible extending from the deep femoral artery (DFA) to the common femoral vein (CFV).
case_images: CRIC2024-3426669.003.jpg
case_images: PMC10894047_01_CRIC2024-3426669.003.jpg
case_images: fig3
case_images: However, echography performed the next day showed a recurrence of the pseudoaneurysm (Figure 3(a)), and an AV fistula connecting to the common femoral vein was observed (Figure 3(b)).
case_images: Schematic diagram by the sonographer showing the vascular relationships.
case_images: CRIC2024-3426669.004.jpg
case_images: PMC10894047_01_CRIC2024-3426669.004.jpg
case_images: fig4
case_images: Pseudoaneurysm was slightly enlarged (2.1 x 4.9 cm).  Figure 4 is an illustration by the ultrasound technician showing the vascular relationships.
case_images: (a) Angiogram showing recurrence of the pseudoaneurysm from the deep femoral artery. (b) VIABAHN  deployment at the deep femoral artery. (c) Final angiogram.
case_images: CRIC2024-3426669.005.jpg
case_images: PMC10894047_01_CRIC2024-3426669.005.jpg
case_images: fig5
case_images: A 0.014-inch wire was advanced into the DFA, and the VIABAHN  (6.0 x 50 mm) was deployed in the DFA (Figures 5(a) and 5(b)). This resulted in the complete sealing of the pseudoaneurysm and AV fistula.  Figure 5(c) shows the final angiogram.