Endovascular coil embolization of a symptomatic profunda femoris artery aneurysm in a patient with a complex vascular history through a transbrachial approach

Profunda femoris artery (PFA) aneurysms, though rare, pose significant risks if untreated. Guidelines predominantly address femoral artery aneurysms as a whole, leaving gaps in management of PFA aneurysms. We present a case of a 65-year-old male with a ruptured 4.6 cm x 7.6 cm x 5.0 cm distal PFA aneurysm alongside proximal PFA and CFA aneurysms. Endovascular coil embolization successfully treated the aneurysm, with concurrent thigh fasciotomy for compartment syndrome. The patient's complex medical history influenced treatment selection. This underscores the importance of early recognition and tailored management, advocating for endovascular interventions in high-risk patients. Further research is imperative to establish consensus guidelines for optimal management of PFA aneurysms.