Angio-Seal-Assisted Closure of Femoral Arterial Pseudoaneurysm in a Case of Uncorrectable Coagulation and Potential Allergy to Thrombin

Abstract

Iatrogenic femoral artery pseudoaneurysm (FAP) is a recognized complication of the femoral artery access. Treatment options such as ultrasound-guided compression may fail in case of uncorrectable coagulopathy, and thrombin injection can trigger anaphylactic reaction with repeated exposure.[1,2] In this case, we used ultrasound-guided deployment of Angio-Seal closure device (St. Jude Medical, Minnetonka, MN, USA) to treat FAP with uncorrectable coagulopathy and suspected allergy to thrombin.