Percutaneous duplex-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms.
OBJECTIVE
to evaluate the feasibility of treatment of post-catheterisation pseudoaneurysms with duplex-guided thrombin injection.


METHODS
the technique of duplex-guided injection of thrombin in post-catheterisation pseudoaneurysms of the femoral artery is described and illustrated.


RESULTS
between December 1998 and October 1999, eight post-catheterisation pseudoaneurysms of the femoral artery were successfully thrombosed with thrombin injection. One patient developed a new pseudoaneurysm within 6 hours and this was also successfully treated with thrombin. Follow-up duplex-scanning at 3 months revealed no recurrences. No other adverse events occurred.


CONCLUSIONS
this initial experience suggests that duplex-guided thrombin injection in the treatment of post-catheterisation pseudo-aneurysms is feasible and safe.
Vermeulen
E G
EG
Department of Vascular Surgery, University Hospital Vrije Universiteit, Amsterdam, The Netherlands.
Umans
U
U
Rijbroek
A
A
Rauwerda
J A
JA
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D007267:Injections; D013917:Thrombin / Q000008:administration & dosage*; D018616:Ultrasonography, Doppler, Duplex; D018084:Ultrasonography, Interventional
D013917:Thrombin