Treatment of femoral artery pseudoaneurysm with percutaneous thrombin injection

Pseudoaneurysm formation of the femoral artery is a well-known complication following catheter-based vascular procedures. Ultrasound-guided compressio n or surgical correction are commonly used for its repair. We describe a ne w method of treatment for femoral pseudoaneurysm. The pseudoaneurysm is vis ualized by contralateral angiography and thrombosed with a percutaneous thr ombin injection while the distal vessel is isolated with a brief balloon in flation. Fluoroscopically guided percutaneous thrombin injection is a promi sing, minimally invasive technique for the treatment of iatrogenic pseudoan eurysm, especially in patients with compromised distal circulation. (C) 200 1 Wiley-Liss, Inc.