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Angiology
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0003319707304575v1
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Article

Percutaneous Thrombin Injection for Treatment of Iatrogenic Femoral Artery Pseudoaneurysms: A Case for Caution

Marc-Alexander Ohlow, MD*, Maria Anna Secknus, MD, Hubertus von Korn, MD, Reginald Weiss, MD, and Bernward Lauer, Md, PhD

Zentralklinik Bad Berka

* To whom correspondence should be addressed. E-mail: m.ohlow.kar{at}zentralklinik-bad-berka.de.


   Abstract
The case of a patient who developed a femoral artery pseudoaneurysm following cardiac catheterization is described. After 2 failed attempts of ultrasound-guided compression repair, the patient underwent percutaneous thrombin injection with, beside of complete closure of the pseudoaneurysm, a severe limb ischemia due to distal thrombin migration with consecutive clot formation finally resulting in thigh amputation of the affected leg. Indications, advantages, and disadvantages of various options for the treatment of iatrogenic femoral artery pseudoaneurysms (vascular surgery, ultrasound-guided compression, percutaneous thrombin injection, and other nonsurgical treatment modalities), as well as risk factors for distal migration of liquid thrombin after percutaneous injection, are discussed in this report.

First published on April 2, 2008, doi:10.1177/0003319707304575

Angiology 2008;59:372.

A more recent version of this article appeared on July 1, 2008


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