Prolonged Generalized Urticarial Reaction after Percutaneous Thrombin Injection for Treatment of a Femoral Artery Pseudoaneurysm
Section snippets
CASE REPORT
A 49-year-old woman, who had undergone cardiac catheterization in March 1999, was admitted 2 weeks after her procedure with a 1-week history of a tender, palpable mass in her right groin. Cardiac catheterization had been performed through a 5-F sheath in the right common femoral artery. The angiography revealed normal coronary vessels. She had been given 2,000 U of heparin during the procedure. Hemostasis was achieved with 20 minutes of digital compression. No immediate hematoma was evident and
DISCUSSION
The occurrence of femoral artery pseudoaneurysms has been steadily increasing because of the use of larger vascular sheaths in cardiac and peripheral vascular interventions, and the common use of anticoagulants and thrombolytics. Since its introduction in 1991, ultrasoundguided compression repair has been the primary treatment for pseudoaneurysm (4). Ultrasound-guided compression repair involves compression of the pseudoaneurysm neck with the transducer, allowing physiologic thrombosis to take
Acknowledgment
The authors appreciate the editorial assistance of Cathy Fix during the preparation of this manuscript.
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Percutaneous ultrasound-guided thrombin injection for the treatment of iatrogenic femoral artery pseudoaneurysms
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