Arterial False Aneurysm Following Endovenous Laser Ablation of Recurrent Small Saphenous Vein

A 70-year-old patient was treated with minimal invasive technique for a symptomatic recurrence of the left small saphenous vein. Endovenous laser 1470nm was applied for the recurrent trunk segments. Shortly after treatment the patient complained about pain at the upper dorsal calf region. An arterial false aneurysm was detected at the first control 2 days later. Initial treatment with percutaneous thrombin injection was insufficient and completed by intraarterial coil embolization. This report should provide alertness to endovenous therapists of the field.