Fluoroscopy-guided balloon blocking combined with thrombin injection for pseudoaneurysm of the common femoral artery

Common femoral artery pseudoaneurysm is a frequent complication of interventional puncture. Traditional compression has high failure rates and causes discomfort, while ultrasound-guided thrombin injection is limited in complex cases (e.g., multiple pseudoaneurysms). This report explores a new, effective solution.

A patient with multiple post-intervention pseudoaneurysms sought effective, minimally invasive treatment to avoid conventional therapy drawbacks.

Multiple common femoral artery pseudoaneurysms were diagnosed via clinical assessment and imaging after interventional puncture.

X-ray fluoroscopy-guided balloon blocking plus thrombin injection was performed to induce pseudoaneurysm lumen thrombosis.

No treatment complications occurred; fluoroscopy enabled accurate occlusion visualization. Complete pseudoaneurysm occlusion was confirmed at 1-month follow-up.

This approach is viable for pseudoaneurysms refractory to compression or ultrasound-guided thrombin injection, serving as a useful supplement to traditional compression.