Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms.
OBJECTIVE
Ultrasound-guided injection of thrombin is the treatment of choice for femoral pseudoaneurysms.


METHODS
A prospective study of patients undergoing a single form of treatment for femoral pseudoaneurysms.


METHODS
Patients were treated at 2 tertiary care, university-affiliated hospitals.


METHODS
Forty consecutive patients with femoral pseudoaneurysms resulting from diagnostic and therapeutic catheterizations for peripheral arterial, coronary arterial, and cerebrovascular diseases were evaluated.


METHODS
Thrombin was injected directly into the pseudoaneurysms under ultrasonographic guidance.


METHODS
Thrombosis of the pseudoaneurysm following thrombin injection was the goal of treatment.


RESULTS
All 40 patients had initial complete thrombosis of their femoral pseudoaneurysms. In each case, except for one, the aneurysm was noted to have thrombosed on follow-up duplex ultrasonogram. There was one complication.


CONCLUSIONS
Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms.
Friedman
Steven G
SG
Division of Vascular Surgery, North Shore University Hospital, 300 Community Dr, Manhasset, NY, USA. sfried@nshs.edu
Pellerito
John S
JS
Scher
Larry
L
Faust
Glenn
G
Burke
Brian
B
Safa
Toufic
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006490:Hemostatics / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D007049:Iatrogenic Disease; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013917:Thrombin / Q000008:administration & dosage* / Q000009:adverse effects; D018617:Ultrasonography, Doppler, Pulsed; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin