Iatrogenic femoral artery pseudoaneurysms--a review of current methods of diagnosis and treatment.
The common femoral artery is commonly used as arterial access for a wide range of radiological and cardiological procedures. Pseudoaneurysm formation is the most common arterial complication of femoral artery catheterization, and is diagnosed using colour Doppler ultrasound. Ultrasound-guided thrombin injection has replaced ultrasound-guided compression as the first-line treatment. The practicalities of thrombin injection (technique and types of thrombin available) and other treatment options are discussed. Awareness of pseudoaneurysm formation and the treatment options allows prompt diagnosis and successful treatment.
Ahmad
F
F
Department of Interventional Radiology, Royal Berkshire NHS Foundation Trust, Reading, UK. farhan@doctors.org.uk
Turner
S A
SA
Torrie
P
P
Gibson
M
M
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003250:Constriction; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging* / Q000293:injuries; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007049:Iatrogenic Disease; D007269:Injections, Intra-Arterial; D008297:Male; D012307:Risk Factors; D013917:Thrombin / Q000008:administration & dosage*; D018615:Ultrasonography, Doppler, Color
D006490:Hemostatics; D013917:Thrombin