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Iatrogenic Femoral Pseudoaneurysms That Are Unresponsive to Percutaneous Thrombin Injection: Potential Causes

Robert G. Sheiman1 and Michael Mastromatteo

1 Both authors: Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Ave., Boston, MA 02215.



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  		Fig. 1A. —74-year-old man with common femoral artery pseudoaneurysm resulting from cardiac catheterization. Transverse color Doppler sonogram reveals pseudoaneurysm with partial thrombosis (arrows). Sonographic findings in this patient were not suggestive of underlying arterial laceration.

 


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  		Fig. 1B. —74-year-old man with common femoral artery pseudoaneurysm resulting from cardiac catheterization. After thrombin injection, color Doppler sonogram shows no flow, indicating complete thrombosis of pseudoaneurysm.

 


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  		Fig. 1C. —74-year-old man with common femoral artery pseudoaneurysm resulting from cardiac catheterization. Follow-up color Doppler sonogram obtained 1 day later to investigate cause of recurrent inguinal pain and bruit reveals partial recanalization of pseudoaneurysm. At surgical repair, 1-cm arterial laceration was identified.

 

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