Percutaneous Induced Thrombosis of Iatrogenic Femoral Pseudoaneurysms following Catheterization

Location of femoral artery puncture site and the risk of postcatheterization pseudoaneurysm formation

“…In addition, external iliac artery and deep femoral artery are positioned at an angle to skin surface which further restricts compression efficiency. These observations find their confirmation in the lack of effectiveness of compression therapy in pseudoaneurysm originating in distal parts of external iliac artery and in deep femoral artery [6,9,10,20,21].…”

“…Available research shows that perioperative administration of heparin and antithrombotic agents as well as performing procedures in patients on coumarin derivatives lead to significant depletion of pseudoaneurysm treatment efficacy both by compression and thrombin injection [9,10,20,[22][23][24][25].…”

Incidence and outcome of femoral vascular complications among 18,165 patients undergoing cardiac catheterisation

“…Surgery is usually effective and definitive, but also highly invasive, expensive and exposes the patient to a mortality risk of up to 7.5% all cause mortality at one year [8,9,19]. Ultrasound-guided compression has become the first line therapy in many centers since the introduction of this method by Fellmeth and Feld in the early 1990s [20,21].…”

Management of complex two-chamber false aneurysms by thrombin injections in patients under clopidogrel, aspirin or both

“…False aneurysms often develop at the puncture after percutaneous cardiovascular procedures [1,8,11,12,13]. Previous management of false aneurysms consisted of surgical repair or compression therapy.…”