PMC3946472_01
Digital subtraction angiogram showing PSA arising from branch of profunda femoris artery.
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Arteriography revealed 5 x 7 cm PSA arising from branch of profunda femoris artery (Fig. 1).
Angiogram showing coil insertion following thrombin injection into the PSA.
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Aliquots of 0.2 mL of bovine thrombin (at a concentration of 1000 U/mL) were injected into the PSA chamber and visualized with fluoroscopy and color Doppler until no flow was observed (Fig. 2).
Final angiogram showing complete closure of PSA and good flow in profunda femoris and superficial artery in distal vasculature.
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To minimize the chances of recurrence with thrombin injection, we decided to close the feeding artery by embolizing the same with micro coils 6 mm x 5 cm (COOK, MReye embolization Coil) insertion (Fig. 3).