ABSTRACT
Objective To introduce and evaluate the methods of ultrasound-guided compression repair (UGCR) or ultrasound-guided compression-puncture hematocele repair (UGCPHR) in treatment of post-catheterization femoral arterial pseudoaneurysms. Methods Two patients with femoral arterial pseudoaneurysms (3.0 cm?3.0 cm) were treated with UGCPHR, a 18-gauge blunt needle self-retrained with a syringe was placed into the pseudoaneurysm flow lumen along the primary cleft, to compress this site to cut-out continuously the blood flow into the lumen, then to draw all the hemocele out with the syringe, to slowly decompress after continuing the compression for 20-30 minutes, and to repeat this procedure if blood flow signals still existed. Results All the five cases were treated successfully, without large hardening nodules. Four cases were treated successfully at one time, one case was successfully with UGCPHR after failure with UGCR. Conclusion For the treatment of post-catherization femoral arterial pseudoaneurysms, UGCR or UGCPHR depending on the size of pseudoaneurysms is effective, safe and technically simple, without local largely hardening nodules formation in post-repair or any effects on interventional diagnosis and treatment in short periods along the same passway.