Ultrasound guided compression of femoral artery pseudoaneurysms: modified digital technique shortens repair time

Ultrasound guided graded manual compression therapy has become the standard treatment for femoral artery pseudoaneurysms. It entails blunt ultrasound probe compression on the neck of the aneurysm for considerable periods of time. We describe a technique using digital compression after ultrasound localization of the neck enabling easier and more effective targeting of the manual pressure. Preliminary experience in six consecutive cases has shown it to be effective, safe and to have relatively short compression times. Ultrasound guided digital compression has the potential to deliver more effective pressure making this often onerous procedure less demanding on both patient and operator.