Treatment of femoral artery pseudoaneurysms using ultrasound-guided thrombin injection.
Femoral artery pseudoaneurysms, a complication of femoral arterial puncture, is increasing in frequency with the proliferation of endovacular interventions. Pseudoaneurysms have historically been treated by open surgical repair, and more recently by ultrasound-guided compression. Ultrasound-guided compression is painful, and has a relatively low success rate of 51% to 73%. Since 1991, ultrasound-guided thrombin injection has become a treatment option. During injection of thrombin into a pseudoaneurysm, immediate thrombosis can be demonstrated within seconds. The entire procedure can be accomplished within 5 minutes, is simple to learn, and can be performed safely on an outpatient basis.
Padidar
Arash M
AM
Cardiovascular Interventional Radiology, Department of Radiology, Stanford Medical Center, Stanford, CA 94305-5105, USA.
Kee
Stephen T
ST
Razavi
Mahmood K
MK
D017541:Aneurysm, False / Q000628:therapy*; D005263:Femoral Artery; D006801:Humans; D007269:Injections, Intra-Arterial; D011677:Punctures; D013917:Thrombin / Q000008:administration & dosage / Q000627:therapeutic use*; D018084:Ultrasonography, Interventional
D013917:Thrombin