IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Iatrogenic arterial thrombosis

Case contributed by Ahmed Abdrabou
Diagnosis certain

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

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.