Abstract
Femoral arterial puncture is the main access for diagnostic and therapeutic intervention in vascular disease. Significant complications are unusual and include uncontrolled bleeding which usually requires surgery. We report the use of ultrasound-guided thrombin injection that prevented any immediate need for surgery in 2 cases of uncontrolled bleeding following femoral arteriography. Clinical presentations and treatment are reported, together with a review of the literature.
Similar content being viewed by others
References
Highstead RG, Tipton KD, et al. (2005) Incidence of associated events during the performance of invasive procedures in healthy human volunteers. J Appl Physiol 98:1202–1206
Botti M, Williamson B, et al. (2001) Coronary angiography observations: Evidence based or ritualistic practice? Heart Lung 30:138–145
Perkins JM, Magee TR, et al. (1996) Duplex-guided compression of femoral artery aneurysms reduces the need for surgery. Ann R Coll Surg Engl 78:473–475
Kang SS, Labropoulos N, Mansour MA, et al. (1998) Percutaneous ultrasound guided thrombin injection: A new method for treating postcatheterization femoral pseudoaneurysms. J Vasc Surg 27:1032–1038
Paulson EK, Sheafor DH, et al. (2000) Treatment of iatrogenic femoral arterial pseudoaneurysms: Comparison of US-guided thrombin injection with compression repair. Radiology 215:403–408
Sheldon PJ, Ogelvie SB, et al. (2000) Prolonged generalised urticarial reaction after percutaneous thrombin injection for treatment of a femoral artery pseudoaneurysm. J Vasc Interv Radiol 11:759–761
Pope M, Johnston KW (2000) Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: Recommendations for prevention, J Vasc Surg 32:190–191
Ortel TL, Mercer MC, et al. (2001) Immunologic impact and clinical outcomes after surgical exposure to bovine thrombin. Ann Surg 233:88–96
Pezzullo JA, Dupuy DE, et al. (2000) Percutaneous injection of thrombin for the treatment of pseudoaneurysms after catheterisation: An alternative to sonographically guided compression. AJR Am J Roentgenol 175:1035–1040
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Richards, T., Mussai, F.J., Phillips-Hughes, J. et al. Thrombin Injection for Acute Hemorrhage Following Angiography. Cardiovasc Intervent Radiol 30, 786–788 (2007). https://doi.org/10.1007/s00270-007-9086-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-007-9086-6