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  • Title: Ultrasound-guided percutaneous thrombin injection for femoral artery pseudoaneurysms.
    Author: McCoy D, Scharfstein B, Walker W, Evans J.
    Journal: Am Surg; 2000 Oct; 66(10):975-7. PubMed ID: 11261628.
    Abstract:
    We reviewed 13 cases of ultrasound-guided thrombin injection of femoral pseudoaneurysms. All cases occurred within a 17-month period from January 1998 through May 1999 and were complications of femoral artery puncture. Immediate total thrombosis occurred in nine of 13 patients. Twenty-four-hour follow-up ultrasound in seven patients revealed no recurrence of pseudoaneurysm. Two of 13 patients required operative repair. One pseudoaneurysm thrombosed with 15 minutes of compression after injection and one case required a second injection. No cases of arterial thrombosis were noted. Ultrasound-guided thrombin injection for femoral artery pseudoaneurysm represents a safe and effective alternative to operative repair.
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