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Technical Developments |
1 From the Departments of Radiology (D.P.B., R.G.S., P.A.) and Vascular Surgery (C.M.A.), Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215. Received March 10, 1999; revision requested April 27; revision received May 26; accepted July 12. Address reprint requests to D.P.B. (e-mail: dbrophy@caregroup.harvard.edu).
Fifteen iatrogenic femoral pseudoaneurysms failed ultrasonography (US)-guided compression treatments. Despite concomitant antiplatelet or anticoagulation treatment, the 15 pseudoaneurysms were successfully and definitively treated without complication with US-guided thrombin injection. Results in this preliminary study suggest US-guided thrombin injection is a safe, expeditious, low-cost, and comfortable definitive treatment for femoral pseudoaneurysms that has advantages over both US-guided compression and open surgical repair.
Index terms: Aneurysm, femoral, 921.73 • Angiography, complications, 921.73 • Ultrasound (US), guidance, 921.12986, 921.73
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