Nonsurgical Repair of Femoral Artery Pseudoaneurysm with Color Flow Guided Ultrasound Transducer Compression.

Arterial pseudoaneurysm is a significant complication following invasive angiographic procedures. A definitive diagnosis is usually obtainable with ultrasound imaging, including color flow Doppler. Treatment modalities include surgical repair or transducer directed compression. In our experience, 26 of 29 patients (89.7%) with femoral artery pseudoaneurysm were successfully treated utilizing transducer directed compression. One pseudoaneurysm thrombosed spontaneously before the procedure was completed. No complications were encountered. Our experience suggests that surgical repair is not required for most femoral artery pseudoaneurysms. (ECHOCARDIOGRAPHY, Volume 13, May 1996)