Coronary artery diseaseTreatment of Post-Catheterization Femoral Artery Pseudo-Aneurysm With Para-Aneurysmal Saline Injection
Section snippets
Methods and Results
Sixty-four consecutive patients with femoral artery pseudoaneurysms after cardiac catheterization were prospectively studied. All patients provided signed informed consent. All pseudoaneurysms were diagnosed and treated by catheterization laboratory medical personnel.
An ultrasound transducer probe (7.0 to 11.0 MHz) (Sonos 5500; Hewlett-Packard Corporation, Palo Alto, California) wrapped in a sterile bag was positioned over the pseudoaneurysm, providing continuous color duplex ultrasound
Discussion
We report here our extended experience using a novel alternative technique for the management of postcatheterization pseudoaneurysm. This method of para-aneurysmal injection of physiologic saline was first described by Gehling et al.19
The pathophysiology, diagnosis, and management of postcatheterization pseudoaneurysm have been recently reviewed by Webber et al.4 Several therapeutic strategies have been developed to treat pseudoaneurysms, including ultrasound-guided compression repair (UGCR),6,
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