Maladies cardiovasculaires et diagnostic

The Clinical Management of Complex Pseudoaneurysms of the Femoral Artery

Abstract

Zaiwei Zhang, Hongyan Tian, Qiang Ma, Junbo Zhang, Hua Tian

Objective: To evaluate the clinical course of patients treated for multiple perforations, complex femoral artery pseudoaneurysms.

Methods: Seven patients with multiple perforations, complex pseudoaneurysms after femoral artery access for interventional procedures were treated. Ultrasound-guided thrombin injection (UGTI) was first used for treatment. Patients failing repeated UGTIs were treated with fibrin sealant injections.

Results: Five of the seven patients treated with UGTIs had rapid thrombus formation within the pseudoaneurysm. Two patients refractory to UGTI had successful treatment using fibrin sealant injection. There were no complications and the overall cure rate was 100%.

Conclusions: Treatment of complex femoral artery pseudoaneurysms is safe and effective. UGTI and fibrin sealant are useful in the treatment of complex pseudoaneurysms.