Treatment of femoral pseudoaneurysm after vascular procedure. In: A multidisciplinary Approach to Cardiovascular Diseases

Femoral artery pseudoaneurysms (FAP) incidence has increased, in last years, in line with the number of percutaneous interventions. FAP may complicate up to 8% of percutaneous vascular accesses after interventional procedures. FAP incidence can be even higher if are employed large-diameter sheaths, fibrinolytic therapy and anticoagulant regimens. A spontaneous sealing can occur in small diameter FAP, but an intervention is often required especially for larger diameter. Surgery has been considered the \u201cgold standard\u201d treatment, although its related perioperative morbidity in these high-risk patients with severe cardiovascular disease. Less invasive treatment options such as Duplex ultrasound- guided compression (DUGC) and percutaneous thrombin injection are available with satisfactory results. Endovascolar solutions, as FAP exclusion with stent-graft deployment, have also been reported