The Clinical Management of Complex Pseudoaneurysms of the Femoral Artery
|Zaiwei Zhang1,2, Hongyan Tian1*, Qiang Ma1, Junbo Zhang1 and Hua Tian1|
|1Department of Cardiovascular Medicine, First Affiliated Hospital, Medical school of Xi’an Jiaotong University, Xi’an 710061, China|
|2Cadre Health Care Department of Mianyang Central Hospital, Mianyang, 621000, China|
|Corresponding Author :||Hongyan Tian
Department of Cardiovascular Medicine, First Affiliated Hospital
Medical school of Xi’an Jiaotong University, Xi’an 710061, China
E-mail: [email protected]
|Received July 16, 2014; Accepted Aug 14, 2014; Published Aug 21, 2014|
|Citation: Zhang Z, Tian H, Ma Q, Zhang J, Tian H (2014) The Clinical Management of Complex Pseudoaneurysms of the Femoral Artery. J Cardiovasc Dis Diagn 2: 169. doi: 10.4172/2329-9517.1000169|
|Copyright: © 2014 Zhang Z et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Objective: To evaluate the clinical course of patients treated for multiple perforations, complex femoral artery pseudoaneurysms.
Methods: Seven patients with multiple perforations, complex pseudoaneurysms after femoral artery access for interventional procedures were treated. Ultrasound-guided thrombin injection (UGTI) was first used for treatment. Patients failing repeated UGTIs were treated with fibrin sealant injections.
Results: Five of the seven patients treated with UGTIs had rapid thrombus formation within the pseudoaneurysm. Two patients refractory to UGTI had successful treatment using fibrin sealant injection. There were no complications and the overall cure rate was 100%.
Conclusions: Treatment of complex femoral artery pseudoaneurysms is safe and effective. UGTI and fibrin sealant are useful in the treatment of complex pseudoaneurysms.