Thrombin Injection Vs Conventional Surgical Repair in Treatment of Iatrogenic Post-Cath Femoral Artery Pseudoaneurysm (Ifap)

Abstract

Background: Femoral pseudo aneurysms may complicate up to 8% of vascular interventional procedures. Small pseudo aneurysms can spontaneously clot, but sometimes treatment is needed. Surgery has traditionally been considered the ’gold standard’ treatment, although it is not without risk. Less invasive treatment options such as Duplex ultrasound-guided compression and percutaneous thrombin injection are available alternatives; however, their efficacy was a concern. Aim of the study: Study the safety and efficiency of the thrombin injection in comparison to the conventional surgery as an alternative treatment of IFAPs. Patients and Methods: 120 patients were divided into two groups A and B Group A underwent a surgical repair. Group B underwent US guided Thrombin injection Results: Results were studied in terms of Success, Recurrence, Bleeding, Thrombosis, Infection, Secondary Haemorrhage and amputations For Group A: All procedure were successful, 2 patients had wound infection, one patient had a secondary haemorrhage ended up with AKA For Group B: 58 out of 60 procedures were successful. Only 2 needed surgical intervention. Conclusion: Thrombin injection can be considered as a safe and considerably efficient alternative for surgery in management of femoral artery pseudo aneurysm.