Femoral pseudoaneurysms after percutaneous access

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Radiology

Background:

• The femoral artery is the predominant arterial access site for percutaneous coronary interventions and other vascular procedures.
• Groin complications, primarily hematomas and pseudoaneurysms, are infrequent but recognized risks of femoral arterial access.
• Historically managed by vascular surgeons, pseudoaneurysm treatment now involves multiple specialties.

Purpose of the Study:

• To review the clinical implications of femoral arterial access.
• To discuss current issues and controversies in managing pseudoaneurysms after percutaneous procedures.
• To explore optimal treatment strategies for this common complication.

Main Methods:

• Literature review of studies on femoral arterial access and groin complications.
• Analysis of current treatment modalities for pseudoaneurysms.
• Discussion of the evolving management landscape involving various medical specialties.

Main Results:

• Femoral access remains a cornerstone for numerous percutaneous cardiovascular and peripheral interventions.
• Pseudoaneurysms are the most common significant groin complication, with increasing incidence due to procedural volume.
• Ultrasound-guided compression and thrombin injection have become primary treatments, broadening management beyond vascular surgery.

Conclusions:

• Effective management of femoral pseudoaneurysms requires understanding their clinical impact and current therapeutic options.
• The multidisciplinary approach to pseudoaneurysm management is crucial for optimizing patient outcomes.
• Further research into the ideal treatment strategies will refine care for this frequent complication.