Abstract
Pseudoaneurysm of the femoral artery is a well-documented complication following arterial access. There are several treatment options, but percutaneous injection of thrombin, using ultrasound guidance, has become increasingly popular worldwide and is the therapy of choice in most vascular centres. This short review highlights the procedure and provides step-by-step guidance for radiologists who are interested in performing thrombin injection.
Highlights
Pseudoaneurysm of the common femoral artery (CFA) is a wellrecognised complication following angiography.[1]
The incidence increases with cardiac procedures owing to several factors, including longer procedure time, larger sheath sizes (7F and higher) and anti-platelet treatment
Percutaneous thrombin injection has become the treatment of choice for iatrogenic femoral artery pseudoaneurysm.[6,7]
Summary
Pseudoaneurysm of the common femoral artery (CFA) is a wellrecognised complication following angiography.[1]. Pseudoaneurysm of the common femoral artery (CFA) is a wellrecognised complication following angiography.[1] Incidence rates of up to 0.2% of diagnostic angiograms and 8% of interventional procedures have been reported.[2,3] The incidence increases with cardiac procedures owing to several factors, including longer procedure time, larger sheath sizes (7F and higher) and anti-platelet treatment. The main treatment options for symptomatic pseudoaneurysms include ultrasound-guided compression, percutaneous thrombin injection or surgical repair.
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