[US-guided percutaneous management of femoral artery pseudoaneurysms by thrombin injection: personal experience and review of the literature].

摘要: Treatment of femoral artery pseudoaneurysms includes US-guided compression, endovascular coil embolisation or stenting, thrombin injection and open surgical repair. Thrombin is currently the standard approach to all non-complicated peripheral arteries. Between January 2001 December 2004, 59 were submitted percutaneous in our surgery division. Complicated pseudoaneurysms, patients whom treatment failed, chronic with large necks excluded from this kind underwent Eighteen on therapeutic anticoagulation (30.5%) none had an associated arteriovenous fistula. All clinical ultrasound follow-up at 24 hours 1, 6 12 months, thereafter yearly intervals for evaluation recurrences. The was successful 57/59 (96.6%) while two (3.4%) after failure procedure. In 1 patient (1.7%) additional necessary achieve complete thrombosis pseudoaneurysm. No complications occurred; reported discomfort there no request sedation. recurrences seen follow-up. Nowadays choice pseudoaneurysms. Surgical reserved rare selected cases. More studies are evaluate further indications visceral small distal