Treatment of femoral artery pseudoaneurysm with percutaneous thrombin injection

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Abstract
Pseudoaneurysm formation of the femoral artery is a well‐known complication following catheter‐based vascular procedures. Ultrasound‐guided compression or surgical correction are commonly used for its repair. We describe a new method of treatment for femoral pseudoaneurysm. The pseudoaneurysm is visualized by contralateral angiography and thrombosed with a percutaneous thrombin injection while the distal vessel is isolated with a brief balloon inflation. Fluoroscopically guided percutaneous thrombin injection is a promising, minimally invasive technique for the treatment of iatrogenic pseudoaneurysm, especially in patients with compromised distal circulation. Cathet Cardiovasc Intervent 2001;53:259–263.