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.