Pseudoaneurysm (PA) formation is a well-documented complication of femoral arterial puncture in patients undergoing percutaneous cardiac procedures. Besides surgical repair, there has been success in obliterating the PAS by Duplex ultrasound guided compression (mostly those <4.0 cm). We analyzed the use of prolonged femoral compression using a pneumatic compression system (FemoStop by USCI) in 10 patients who developed femoral PAS following an interventional cardiac procedure. All PAS were diagnosed by ultrasound and had unsuccessful duplex-guided compression. The size of the PA ranged from 2.8–4.0 cm in diameter. All patients had the FemoStop system placed over the PA with continuous pressure for 12–18 hr. PA obliteration was successful in 90% of cases as confirmed by ultrasound. The only complication observed was skin abrasion in two patients. Our results indicate that the FemoStop system Is a simple and effective technique for treatment of femoral artery PAS.

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Volume39, Issue2

October 1996

Pages 138-142

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Use of a pneumatic compression system (FEMOSTOPB®) as a treatment option for femoral artery pseudoaneurysms after percutaneous cardiac procedures

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Use of a pneumatic compression system (FEMOSTOPB®) as a treatment option for femoral artery pseudoaneurysms after percutaneous cardiac procedures

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