Hypothesis: Ultrasound-guided injection of thrombin is the treatment of choice for femoral pseudoaneurysms.
Design: A prospective study of patients undergoing a single form of treatment for femoral pseudoaneurysms.
Setting: Patients were treated at 2 tertiary care, university-affiliated hospitals.
Patients: Forty consecutive patients with femoral pseudoaneurysms resulting from diagnostic and therapeutic catheterizations for peripheral arterial, coronary arterial, and cerebrovascular diseases were evaluated.
Intervention: Thrombin was injected directly into the pseudoaneurysms under ultrasonographic guidance.
Main Outcome Measure: Thrombosis of the pseudoaneurysm following thrombin injection was the goal of treatment.
Results: All 40 patients had initial complete thrombosis of their femoral pseudoaneurysms. In each case, except for one, the aneurysm was noted to have thrombosed on follow-up duplex ultrasonogram. There was one complication.
Conclusion: Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms.
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| http://dx.doi.org/10.1001/archsurg.137.4.462 | DOI Listing |
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