{"id":"https://openalex.org/W7225415693","doi":"https://doi.org/10.21203/rs.3.rs-10549348/v1","title":"Injecting Point of care Ultrasound into your practice: A case of a femoral artery pseudoaneurysm in the Emergency department","display_name":"Injecting Point of care Ultrasound into your practice: A case of a femoral artery pseudoaneurysm in the Emergency department","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225415693","doi":"https://doi.org/10.21203/rs.3.rs-10549348/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-10549348/v1","doi":"https://doi.org/10.21203/rs.3.rs-10549348/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10549348/v1","pdf_url":"https://www.researchsquare.com/article/rs-10549348/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-10549348/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077745983","display_name":"Prateek Khurana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Prateek Khurana","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016468424","display_name":"Aileen Virella","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aileen Virella","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161066224","display_name":"Nicholas Bielawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicholas Bielawa","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002490488","display_name":"Danielle K. Turrin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Danielle Turrin","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062905797","display_name":"Mathew Nelson","orcid":"https://orcid.org/0000-0003-0894-1764","observed_orcids":["https://orcid.org/0000-0003-0894-1764"]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mathew Nelson","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102772177","display_name":"Allison Cohen","orcid":"https://orcid.org/0000-0003-2981-3147","observed_orcids":["https://orcid.org/0000-0003-2981-3147"]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Allison Cohen","raw_affiliation_strings":["Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1302444339"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.763700008392334,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.763700008392334,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.20810000598430634,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/femoral-artery-pseudoaneurysm","display_name":"femoral artery pseudoaneurysm","score":0.9739999771118164},{"id":"https://openalex.org/keywords/point-of-care-ultrasound","display_name":"point-of-care ultrasound","score":0.9860000014305115},{"id":"https://openalex.org/keywords/injection-drug-use","display_name":"intravenous drug use","score":0.9430000185966492},{"id":"https://openalex.org/keywords/color-doppler-ultrasound","display_name":"color Doppler ultrasound","score":0.7960000038146973},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.8009999990463257},{"id":"https://openalex.org/keywords/warfarin","display_name":"warfarin","score":0.8379999995231628},{"id":"https://openalex.org/keywords/antiphospholipid-syndrome","display_name":"antiphospholipid syndrome","score":0.8320000171661377},{"id":"https://openalex.org/keywords/soft-tissue-infection","display_name":"soft tissue infection","score":0.5099999904632568},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.5799999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9678000211715698},{"id":"https://openalex.org/C2775901891","wikidata":"https://www.wikidata.org/wiki/Q3137609","display_name":"Pseudoaneurysm","level":3,"score":0.8284000158309937},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7473000288009644},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6039000153541565},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5708000063896179},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.5526000261306763},{"id":"https://openalex.org/C2779723990","wikidata":"https://www.wikidata.org/wiki/Q707174","display_name":"Femoral artery","level":2,"score":0.5458999872207642},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4560999870300293},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.4490000009536743},{"id":"https://openalex.org/C2779018429","wikidata":"https://www.wikidata.org/wiki/Q129757","display_name":"Thigh","level":2,"score":0.4244000017642975},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.41690000891685486},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.41269999742507935},{"id":"https://openalex.org/C2780776380","wikidata":"https://www.wikidata.org/wiki/Q707651","display_name":"Anterior tibial artery","level":3,"score":0.39469999074935913},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.3862999975681305},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.3666999936103821},{"id":"https://openalex.org/C2781347138","wikidata":"https://www.wikidata.org/wiki/Q1024492","display_name":"Computed tomography angiography","level":3,"score":0.3643999993801117},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.3418000042438507},{"id":"https://openalex.org/C2781460036","wikidata":"https://www.wikidata.org/wiki/Q532558","display_name":"Internal iliac artery","level":2,"score":0.3337000012397766},{"id":"https://openalex.org/C2777522714","wikidata":"https://www.wikidata.org/wiki/Q707659","display_name":"Posterior tibial artery","level":3,"score":0.32170000672340393},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.299699991941452},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.27959999442100525},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.2718000113964081},{"id":"https://openalex.org/C3019796121","wikidata":"https://www.wikidata.org/wiki/Q5048356","display_name":"Case presentation","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.26660001277923584},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C2779495589","wikidata":"https://www.wikidata.org/wiki/Q7916451","display_name":"Vascular closure device","level":3,"score":0.2542000114917755}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-10549348/v1","doi":"https://doi.org/10.21203/rs.3.rs-10549348/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10549348/v1","pdf_url":"https://www.researchsquare.com/article/rs-10549348/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-10549348/v1","doi":"https://doi.org/10.21203/rs.3.rs-10549348/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10549348/v1","pdf_url":"https://www.researchsquare.com/article/rs-10549348/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225415693.pdf","grobid_xml":"https://content.openalex.org/works/W7225415693.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W2024079273","https://openalex.org/W2103657327","https://openalex.org/W2107373554","https://openalex.org/W2114067614","https://openalex.org/W2157694556","https://openalex.org/W2412921218","https://openalex.org/W2610532275","https://openalex.org/W3012555885","https://openalex.org/W4380872208","https://openalex.org/W4385347210","https://openalex.org/W4395053767"],"related_works":["https://openalex.org/W4390765096","https://openalex.org/W7204159044","https://openalex.org/W4414043138","https://openalex.org/W6987909913","https://openalex.org/W4411138019","https://openalex.org/W4385840040","https://openalex.org/W4395046270","https://openalex.org/W3014901007","https://openalex.org/W3090369543","https://openalex.org/W2158466230"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Patients":[2],"with":[3,18,85,97,150,159,177,202,237,249],"a":[4,35,50,70,86,121,129,146,160,224,243],"history":[5,87],"of":[6,49,88,100,135,220,259],"intravenous":[7,110],"drug":[8],"use":[9],"(IVDU)":[10],"frequently":[11],"present":[12],"to":[13,57,197],"the":[14,28,113,141,181,218,257],"emergency":[15],"department":[16],"(ED)":[17],"extremity":[19],"pain":[20,104],"and":[21,60,91,105,120,192],"swelling.":[22,106],"While":[23],"soft":[24,42,232],"tissue":[25,43,233],"infections":[26,44,234],"are":[27,34],"most":[29],"common":[30,182],"injection-related":[31],"complications,":[32],"pseudoaneurysms":[33,230],"serious":[36],"vascular":[37],"complication":[38],"that":[39,74],"can":[40,75],"mimic":[41],"on":[45,94,154,210],"physical":[46],"examination.":[47],"Misdiagnosis":[48],"pseudoaneurysm":[51,176],"as":[52,140,223],"an":[53,169],"abscess":[54],"may":[55],"lead":[56],"inappropriate":[58],"incision":[59],"drainage,":[61],"resulting":[62],"in":[63,235,252,256],"life-threatening":[64],"hemorrhage.":[65],"Point-of-care":[66],"ultrasound":[67],"(POCUS)":[68],"is":[69],"rapid":[71],"bedside":[72,221],"tool":[73,227],"reliably":[76],"differentiate":[77],"these":[78],"entities.":[79],"Case":[80],"Presentation:":[81],"A":[82],"36-year-old":[83],"male":[84],"antiphospholipid":[89],"syndrome":[90],"pulmonary":[92],"embolism,":[93],"warfarin,":[95],"presented":[96],"two":[98],"weeks":[99],"progressive":[101],"right":[102,194],"thigh":[103],"He":[107,206],"endorsed":[108],"injecting":[109],"drugs":[111],"into":[112],"affected":[114],"area.":[115],"Examination":[116],"revealed":[117],"erythema,":[118],"induration,":[119],"palpable":[122],"mass.":[123],"Laboratory":[124],"studies":[125],"were":[126],"notable":[127],"for":[128,228,246],"supratherapeutic":[130],"international":[131],"normalized":[132],"ratio":[133],"(INR)":[134],"8.9.":[136],"POCUS":[137,222,248],"was":[138,207],"performed":[139],"initial":[142],"imaging":[143,226],"study,":[144],"demonstrating":[145],"large":[147],"hypoechoic":[148],"structure":[149],"bidirectional":[151],"\"to-and-fro\"":[152],"flow":[153],"color":[155,250],"Doppler\u2014the":[156],"\"yin-yang":[157],"sign\"\u2014consistent":[158],"femoral":[161,183,199],"artery":[162,184,200],"pseudoaneurysm.":[163],"Computed":[164],"tomography":[165],"angiography":[166],"(CTA)":[167],"confirmed":[168],"8.6":[170],"\u00d7":[171,173],"6.6":[172],"12.1":[174],"cm":[175],"active":[178],"hemorrhage":[179],"at":[180],"bifurcation.":[185],"The":[186],"patient":[187],"received":[188],"empiric":[189],"broad-spectrum":[190],"antibiotics":[191],"underwent":[193],"external":[195],"iliac":[196],"superficial":[198],"bypass":[201],"bovine":[203],"carotid":[204],"graft.":[205],"discharged":[208],"home":[209],"hospital":[211],"day":[212],"eight.":[213],"Conclusions":[214],"This":[215],"case":[216],"demonstrates":[217],"value":[219],"first-line":[225],"differentiating":[229],"from":[231],"patients":[236],"IVDU.":[238],"Emergency":[239],"physicians":[240],"should":[241],"maintain":[242],"low":[244],"threshold":[245],"performing":[247],"Doppler":[251],"this":[253],"population,":[254],"particularly":[255],"setting":[258],"concomitant":[260],"anticoagulation.":[261]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}