title: A novel interventional method for treating femoral pseudoaneurysms: results from a monocentric experience.
abstract: OBJECTIVE
  Iatrogenic pseudoaneurysms of the femoral artery lead to increased morbidity and mortality, especially when surgical treatment is necessary. Manual compression and thrombin injection are commonly used to occlude the pseudoaneurysms. However, in some cases these treatment options are inapplicable or unsuccessful. The aim of the present study was to examine the feasibility, effectiveness and safety of a novel approach with the use of suture-based closure devices to treat pseudoaneurysms.
  
  
  RESULTS
  Between January 2014 and May 2016, a total of eight iatrogenic pseudoaneurysms of the femoral artery were treated by the interventional closure technique after at least one ineffective attempt at manual compression. After puncture of the cavity, a PTCA guidewire was used to pass the neck of the pseudoaneurysm and a sheath was inserted in the femoral artery. Afterwards, a suture-based closure system (ProGlide) was used to occlude the neck. All eight pseudoaneurysms were successfully obliterated. No complications occurred during the procedure.
  
  
  CONCLUSIONS
  The new interventional technique presented in this study fills the gap in successfully treating pseudoaneurysms that cannot be obturated with conventional techniques. By implementing this new technique in clinical practice, a significant number of open surgical repairs could be prevented.
authors.affiliation: Department of Cardiology and Intensive Care, Technische Universität Dresden - Heart Center, Dresden, Germany.
authors.forename: Karim
authors.initials: K
authors.lastname: Ibrahim
authors.forename: Marian
authors.initials: M
authors.lastname: Christoph
authors.forename: Carsten
authors.initials: C
authors.lastname: Wunderlich
authors.forename: Stephanie
authors.initials: S
authors.lastname: Jellinghaus
authors.forename: Tobias
authors.initials: T
authors.lastname: Loehn
authors.forename: Akram
authors.initials: A
authors.lastname: Youssef
authors.forename: Lisa
authors.initials: L
authors.lastname: Schoener
authors.forename: Silvio
authors.initials: S
authors.lastname: Quick
authors.forename: Johannes
authors.initials: J
authors.lastname: Mierke
authors.forename: Ruth H
authors.initials: RH
authors.lastname: Strasser
authors.forename: Christian
authors.initials: C
authors.lastname: Pfluecke
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000601:surgery*; D002406:Catheterization, Peripheral / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007269:Injections, Intra-Arterial / Q000379:methods; D015552:Injections, Intralesional / Q000379:methods; D008297:Male; D011677:Punctures; D013917:Thrombin / Q000627:therapeutic use; D018084:Ultrasonography, Interventional / Q000379:methods
chemical_list: D013917:Thrombin