J Korean Soc Echocardiogr.  2000 Jun;8(1):103-106.

A Case of Femoral Artery Pseudoaneurysm , which was Developed after Interventional Cardiology Procedure , Treated with Color Doppler Ultrasound-Guided Direct Compression

• Park BH
• Choi CS
• Jang GY
• Yoo NJ
• Oh SG
• Jung JW
• Park YG
• Park OG

Abstract

Vascular complications such as hematoma, pseudoaneurysm and arteriovenous fistula that occur after intracoronary or intracardiac procedures are responsible for considerable morbidity and some mortality. Iatrogenic aneurysms are usually postcatheterization pseudoaneurysms of the femoral artery. Nowadays, it is not uncommon as a consequence of more complex interventional procedures, larger catheters and prolonged anticoagulation treatment. Surgical repair has been mainstay of treatment for pseudoaneurysm. However, recently has it been shown that color Doppler ultrasound-guided direct, noninvasive compression of the pseudoaneurysm stops the blood flow in the communication and lead to pseudoaneurysm clotting and obliteration. We report a case of pseudoaneurysm in femoral artery, which was developed at the right inguinal puncture site in 74 year old male patient with myocardial infarction who had received continuous intravenous infusion of heparin and had undergone primary percutaneous coronary angioplasty and temporary pacemaker insertion treated successfully with color Doppler ultrasound guided direct compression.

Keyword

Pseudoaneurysm; Direct compression; Color Doppler ultrasound

MeSH Terms

Aged
Aneurysm
Aneurysm, False*
Angioplasty
Arteriovenous Fistula
Cardiology*
Catheters
Femoral Artery*
Hematoma
Heparin
Humans
Infusions, Intravenous
Male
Mortality
Myocardial Infarction
Punctures
Ultrasonography
Heparin