Padidar Arash M, Kee Stephen T, Razavi Mahmood K
Cardiovascular Interventional Radiology, Department of Radiology, Stanford Medical Center, Stanford, CA 94305-5105, USA.
Tech Vasc Interv Radiol. 2003 Jun;6(2):96-102. doi: 10.1053/tvir.2003.36447.
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.
