Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms

Steven G. Friedman, John S. Pellerito, Larry Scher, Glenn Faust, Brian Burke, Toufic Safa

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

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 ultrasongram. There was one complication. Conclusion: Ultrasound-guided thrombin injection is the treatment of choice for femoral pseudoaneurysms.

Original languageEnglish (US)
Pages (from-to)462-464
Number of pages3
JournalArchives of Surgery
Volume137
Issue number4
DOIs
StatePublished - 2002
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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