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Ultrasound-Guided Glue Injection as Alternative Treatment of Femoral Pseudoaneurysms

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Abstract

The interventional angiographic techniques using the percutaneous femoral approach for endovascular revascularization are becoming increasingly more popular. These methods usually require larger sheaths, and most patients need postprocedural anticoagulation or antiplatelet therapy. As a consequence, the interventional procedure is associated with a higher rate of complications at the arterial entry site compared to diagnostic angiography [1,2]. The reported incidence of iatrogenic pseudoaneurysm formation after coronary artery interventions ranges from 3.2% [1] to 7.7% [3], and the rates noted after diagnostic angiography range from 0.2% [1] to 1% [4].

Peripheral pseudoaneurysms have traditionally been treated by surgical intervention, but nonsurgical alternatives, such as ultrasound (US)-guided compression, coil embolization, stent-graft placement, and percutaneous thrombin injection with or without balloon occlusion have also been documented. Of these alternatives, direct percutaneous embolization with embolic agents is the most popular method. The tissue adhesive n-butyl cyanoacrylate (NBCA) (Hystoacryl) (B. Braun, Melsungen, Germany) is one of the most popular occluding agents for neurovascular interventions, and has been widely used for more than 20 years [5,6]. In this study, we evaluated the efficacy and utility of direct percutaneous injection of NBCA for embolization of femoral pseudoaneurysms.

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Authors and Affiliations

  1. Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey

    Cüneyt Aytekin, Ali Firat, Erkan Yildirim, Ismail Kirbas & Fatih Boyvat

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  1. Cüneyt Aytekin
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  2. Ali Firat
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  3. Erkan Yildirim
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  4. Ismail Kirbas
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  5. Fatih Boyvat
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Aytekin, C., Firat, A., Yildirim, E. et al. Ultrasound-Guided Glue Injection as Alternative Treatment of Femoral Pseudoaneurysms. CVIR 27, 612–615 (2004). https://doi.org/10.1007/s00270-004-0197-z

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