Simplified method for compression of femoral false aneurysms.

Abstract

False aneurysm formation is a not uncommon complication of cardiac catheterization. Until recently, surgical repair was the only therapeutic option available when conservative management failed. However, Doppler-guided compression of the aneurysm has been advocated in recent years; the method requires prolonged indirect manual compression of the femoral artery aneurysm and is uncomfortable for both the patient and operator. In ten consecutive patients the use of Doppler-guided clamp placement and aneurysm compression for 60 min resulted in complete thrombosis of the aneurysm in eight, and only one patient required surgical repair. The procedure was well tolerated by all patients (analgesia was administered liberally). Eight patients were discharged within 24 h, one after 2 days and the single surgical patient remained an inpatient for 6 days. Doppler-guided clamp compression of false aneurysms is a safe, effective and cost effective method of managing these patients.