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Percutaneous occlusion of femoral artery pseudoaneurysm by para‐aneurysmal saline injection
Author(s) -
Gehling Gisbert,
Ludwig Joseph,
Schmidt Andrej,
Daniel Werner G.,
Werner Dierk
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10485
Subject(s) - medicine , pseudoaneurysm , percutaneous , femoral artery , occlusion , surgery , saline , ultrasound , radiology , aneurysm , anesthesia
The increasing number of coronary interventions and more aggressive anticoagulation is associated with a larger number of iatrogenic femoral pseudoaneurysms (PAs). The majority of PAs clot spontaneously or can be repaired by ultrasound‐guided compression or ultrasound‐guided thrombin injection. The therapeutic armamentarium for the remaining PAs ranges from different interventional procedures to surgical occlusion. In a small case series, we describe our initial experiences with a new, less invasive approach after unsuccessful compression therapy. Ultrasound‐guided injection of 52 ± 33 ml saline beneath the communication tract of the PA yields to rapid occlusion in six consecutive patients. During 4 weeks of follow‐up, the PAs remained occluded in all patients and surgical intervention could be avoided. Cathet Cardiovasc Intervent 2003;58:500–504. © 2003 Wiley‐Liss, Inc.