Compression repair of ruptured pseudoaneurysms guided by color Doppler ultrasonography - Report of two cases

Noninvasive treatment of ruptured postcatheterization pseudoaneurysms is ra re. We report the use of ultrasonographically guided compression repair for the treatment of ruptured pseudoaneurysms in 2 cases. To ensure the immedi ate stop of bleeding, more compression was applied than for nonruptured pse udoaneurysms, regardless of flow in the femoral artery or vein, thus maximi zing the effectiveness of this therapy. With this method, complete thrombos is of the pseudoaneurysm could be achieved in less than 30 minutes. In both cases, ultrasonographically guided compression repair was faster than the time needed to prepare an operating room for surgical treatment. In follow- up examinations, no recurrences or further complications were detected. Ult rasonographically guided compression repair can be used for noninvasive tre atment of ruptured pseudoaneurysms in some cases, provided that more compre ssion than indicated for nonruptured pseudoaneurysms is applied. Further cl inical experience with more patients will be necessary to determine the exa ct benefits and possible limitations.