Ultrasound guided compression of femoral artery pseudoaneurysms: Modified digital technique shortens repair time

Ultrasound guided graded manual compression therapy has become the standard treatment for femoral artery pseudoaneurysms. It entails blunt ultrasound probe compression on the neck of the aneurysm for considerable periods of t ime. We describe a technique using digital compression after ultrasound loc alization of the neck enabling easier and more effective targeting of the m anual pressure. Preliminary experience in six consecutive cases has shown i t to be effective, safe and to have relatively short compression times. Ult rasound guided digital compression has the potential to deliver more effect ive pressure making this often onerous procedure less demanding on both pat ient and operator. (C) 1999 The Royal College of Radiologists.