Iatrogenic arterial thrombosis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Heavy smoker underwent cardiac catheterization for atypical chest pain. Now complains of pale cold left foot.

Patient Data

Age: 39 years old
Gender: Male
Modality: CT

The left external iliac artery is completely occluded shortly after its origin. The thrombus protrudes into the arterial lumen giving meniscus sign appearance. It extends to the common femoral and proximal 2/3 segment of the superficial femoral artery. The distal 1/3 segment is supplied by collateral flow from the internal iliac to profunda femoris arterial anastomosis.

Case Discussion

The angiography sheath is still inside the patient's thigh. The patient developed symptoms 1 day after cardiac catheterization was done. Complications of invasive angiographic techniques include arterial dissection, perforation or thrombosis, contrast reaction, wound infection and renal damage.

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Case Information

rID: 31978
Case created: 8th Nov 2014
Last edited: 14th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

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