How are groin pseudoaneurysms treated?
Pseudoaneurysms resulting from femoral artery puncture can be managed in several ways, based on the patient’s clinical status and the anatomy of the lesion. The first step is to recognize that the complication has occurred. A postprocedure groin check may reveal a pulsatile mass or ecchymosis. The patient may complain of groin pain. US can be used to diagnose or exclude the injury. If a pseudoaneurysm is found, several options exist. Manual or US-guided compression may cause the pseudoaneurysm to thrombose. Direct thrombin injection can also be performed if the anatomy of the lesion is suitable. Surgical intervention is also an option if other techniques fail.