Eleni Antypa, Abstract Co-Author: Nothing to Disclose

Demosthenes D. Cokkinos MD, Presenter: Nothing to Disclose

Konstantinos Iosifidis MD, Abstract Co-Author: Nothing to Disclose

Kalliopi Melaki, Abstract Co-Author: Nothing to Disclose

Despina Kriketou MSc, MD, Abstract Co-Author: Nothing to Disclose

Ploutarhos A Piperopoulos MD, PhD, Abstract Co-Author: Nothing to Disclose

To present a guide to ultrasound (US) guided percutaneous injection of thrombin for the treatment of femoral artery pseudoaneurysms. To review the indications, technique, possible complications and limitations. To assess relevant guidelines in order to seek alternative treatment when this technique fails.

Description of predisposing factors for femoral artery pseudoaneurysm formation, clinical features and Doppler US diagnosis. Meticulous description of the technique, including step by step US guided femoral artery catheterisation, thrombin preparation and administration, variation of the procedure according to the size, form and number of the pseudoanurysm’s lobes. Specific points that should be kept in mind in order to maximise success rates and avoid complications. Outline of post procedure follow up, need for possible repetition of treatment and guideline flowchart in order to abandon the technique for surgical repair when needed are also explained. US images from our Institution’s experience.  

http://abstract.rsna.org/uploads/2014/14008820/14008820_t8w3.pdf

Antypa, E, Cokkinos, D, Iosifidis, K, Melaki, K, Kriketou, D, Piperopoulos, P, Ultrasound Guided Percutaneous Thrombin Injection for Treating Femoral Artery Pseudoaneurysms: When and How to Do it; When Not to Do it.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008820.html