Treatment of femoral artery pseudoaneurysms with percutaneous thrombin injection.
The objective of this study was to prospectively evaluate the efficacy of ultrasound-guided thrombin injection for the treatment of post-catheterization femoral artery pseudoaneurysms. Between August 1, 1998 and August 31, 1999, 38 patients underwent ultrasound-guided injection of thrombin into 39 femoral false aneurysms. Peripheral pulses and ankle/brachial indices were assessed before and after the injection. Patients were followed with a control duplex scan within 4 weeks. The good results from this study showed that ultrasound-guided thrombin injection is an effective method for the treatment of post-catheterization false aneurysms. In a minority of patients, signs consistent with arterial embolization or vasospasm were identified.
Morrison
S L
SL
Division of Vascular Surgery, McGill University, Montreal, PQ, Canada.
Obrand
D A
DA
Steinmetz
O K
OK
Montreuil
B
B
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000187:drug effects; D005500:Follow-Up Studies; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D011446:Prospective Studies; D013917:Thrombin / Q000008:administration & dosage*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex
D013917:Thrombin