PREOPERATIVE CONTROL OF A RUPTURED ANASTOMOTIC FEMORAL PSEUDOANEURYSMBY BALLOON CATHETER - A COMBINED RADIOLOGIC AND SURGICAL APPROACH

Inflow control of a rapidly expanding or ruptured femoral anastomotic ''pseudoaneurysm'' can be fraught with hazard. Occlusion of an anastom otic femoral aneurysm with a balloon catheter offers the surgeon a sim ple method of gaining inflow control prior to surgery. After achieving inflow control with the balloon catheter, the surgeon can incise the anastomotic aneurysm without significant blood loss, control back blee ding with balloon occlusion catheters, and with relative ease and safe ty repair or replace the anastomotic aneurysm as indicated. An illustr ative case is presented.