Treatment of femoral artery pseudoaneurysm with percutaneous thrombin injection.
Pseudoaneurysm formation of the femoral artery is a well-known complication following catheter-based vascular procedures. Ultrasound-guided compression or surgical correction are commonly used for its repair. We describe a new method of treatment for femoral pseudoaneurysm. The pseudoaneurysm is visualized by contralateral angiography and thrombosed with a percutaneous thrombin injection while the distal vessel is isolated with a brief balloon inflation. Fluoroscopically guided percutaneous thrombin injection is a promising, minimally invasive technique for the treatment of iatrogenic pseudoaneurysm, especially in patients with compromised distal circulation.
Samal
A K
AK
Ochsner Clinic, New Orleans, Louisiana, USA.
White
C J
CJ
Collins
T J
TJ
Ramee
S R
SR
Jenkins
J S
JS
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000188:drug therapy*; D005263:Femoral Artery; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D008875:Middle Aged; D013917:Thrombin / Q000627:therapeutic use*
D006490:Hemostatics; D013917:Thrombin