J Korean Radiol Soc.  2000 Oct;43(4):443-445. 10.3348/jkrs.2000.43.4.443.

Effect of Percutaneous Thrombin Injection under Ultrasonography Guidance for Occlusion of Common Femoral Artery Pseudoaneurysm after Failed Ultrasonography-guided Compression: A Case Report

• Lee SH
• Hahn ST
• Park SH

• KMID: 1945504
• DOI: http://doi.org/10.3348/jkrs.2000.43.4.443

Abstract

The occurrence of pseudoaneurysm of the femoral artery after catheterization is uncommon. Ultrasonography-guided compression is currently the first choice of treatment, with a success rate of more than 90%. Recently, however, with the increasing use of larger percutaneous instruments and periprocedural anticoagulation, the incidence of pseudoaneurysm unresponsive to ultrasonography-guided compression is increasing. The authors encountered a case of pseudoaneurysm of the common femoral artery which did not respond to the repeated use of this technique, though treatemnt involving was successful. We believe that in ultrasonography-guided percutaneous thrombin injection was successful. We believe that in cases involving occlusion of a a pseudoaneurysm in which ultrasonography-guided mpression has failed, this is a simple, safe, and time-saving procedure.

Keyword

Aneurysm, femoral; Angiography, complications; Ultrasound (US), guidance

MeSH Terms

Aneurysm, False*
Catheterization
Catheters
Femoral Artery*
Incidence
Thrombin*
Ultrasonography*
Thrombin