title: Sonographically guided hand kneading and compression for treatment of femoral artery pseudoaneurysms.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effectiveness of sonographically guided hand kneading and compression for the treatment of femoral artery pseudoaneurysms after percutaneous intervention.
  
  
  METHODS
  Twenty-four patients who had post-percutaneous intervention femoral artery pseudoaneurysms treated with sonographically guided compression from 2001 to 2004 and 2008 to 2009 were compared with 25 patients who had postintervention pseudoaneurysms treated with sonographically guided hand kneading and compression from 2005 to 2009.
  
  
  RESULTS
  All 25 patients (100%) treated with 1-stage sonographically guided hand kneading and compression had pseudoaneurysm occlusion; the median treatment time was 10 minutes. Twenty-two of the 24 patients (91.7%) treated with conventional sonographically guided compression had pseudoaneurysm occlusion. One-stage compression was successful in 10 patients; 9 and 3 patients had pseudoaneurysm occlusion after 2 and 3 compression treatments, respectively. Two other patients who underwent compression treatment 3 and 4 times did not have pseudoaneurysm occlusion and required surgery. The median treatment time for sonographically guided compression was 30 minutes. The treatment time was significantly shorter for the hand-kneading and compression technique (P < .001), and significantly fewer procedures were needed (P < .001).
  
  
  CONCLUSIONS
  Sonographically guided hand kneading and compression is as effective as sonographically guided compression alone for pseudoaneurysm occlusion after femoral artery percutaneous intervention and requires significantly less time to perform.
authors.affiliation: Cadre Integrated Ward, People's Hospital of Guangxi Zhuang Autonomous Region, 6 Taoyuan Rd, 530021 Nanning, China. djl_gx@163.com
authors.forename: Jin-Long
authors.initials: JL
authors.lastname: Deng
authors.forename: Yin-Xiong
authors.initials: YX
authors.lastname: Wu
authors.forename: Jie
authors.initials: J
authors.lastname: Liu
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001783:Blood Flow Velocity; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008405:Massage; D008875:Middle Aged; D010147:Pain Measurement; D011312:Pressure; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*