Thrombin injection for acute hemorrhage following angiography

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Medical Ultrasound

Background:

• Femoral arterial puncture is a common access route for vascular interventions.
• Uncontrolled bleeding is a rare but significant complication, often necessitating surgical repair.

Observation:

• Two cases of severe bleeding occurred post-femoral arteriography.
• Bleeding persisted despite initial conservative management.

Findings:

• Ultrasound-guided thrombin injection was successfully employed in both cases.
• The intervention achieved hemostasis, preventing immediate surgical intervention.

Implications:

• Ultrasound-guided thrombin injection offers a viable, less invasive alternative for managing post-procedural femoral bleeding.
• This technique may reduce the need for surgical exploration in specific vascular access complications.