{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T22:57:34Z","timestamp":1782601054497,"version":"3.54.5"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Femoral pseudoaneurysm is one of the common complications following femoral artery catheterization. It poses a significant morbidity and a nonsurgical technique with the utmost low complication risk is warranted. Various methods have been used to treat these pseudoaneurysms including manual compression, ultrasound-guided compression, and percutaneous injection of thrombin or glue. Various novel methods are also being used to treat the pseudoaneurysms, including angioseal closure device, vascular plugs, etc. Cirrhosis poses a separate challenge with deranged coagulation and hyperfibrinolysis, making traditional methods, which are dependent on patients' coagulation cascade, less effective.<\/jats:p><jats:p>\n          Materials and Methods\u2003We used a novel technique to treat the complicated femoral pseudoaneurysm using a suture-mediated closure device, Perclose ProGlide system (Abbott Vascular, California, United States). The transaneurysmal approach was used in seven patients. All the patients had acute or chronic liver disease with deranged coagulation. Six patients had femoral arterial access for angiographic procedure while one had a femoral line for intensive care unit monitoring. Compression was done in all the patients, but failed. Percutaneous injection of thrombin was done in two patients.<\/jats:p><jats:p>\n          Results\u2003Technical success was achieved in 7\/7 (100%) patients. There was instantaneous thrombosis of the pseudoaneurysm, which was confirmed the next day by ultrasound. There were no procedure-related complications.<\/jats:p><jats:p>\n          Conclusion\u2003Transaneurysmal closure of the femoral pseudoaneurysm using suture-mediated closure device is a novel and effective, minimally invasive bedside technique that can be used in patients with deranged coagulation.<\/jats:p>","DOI":"10.1055\/s-0044-1793810","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:39:37Z","timestamp":1733963977000},"page":"295-300","source":"Crossref","is-referenced-by-count":1,"title":["Transaneurysmal Suturing of Pseudoaneurysm Neck: Novel and Not a Pseudo-Technique for Treatment of Complicated Femoral Pseudoaneurysm"],"prefix":"10.1055","volume":"35","author":[{"given":"Niraj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Sarvodaya Hospital and Research Centre, Faridabad, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1295-8171","authenticated-orcid":false,"given":"Chandan Kumar","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somsharan Shankerappa","family":"Betgeri","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Caritas Hospital, Kottayam, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8905-5889","authenticated-orcid":false,"given":"Amar","family":"Mukund","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"issue":"20","key":"ref1","doi-asserted-by":"crossref","first-page":"2666","DOI":"10.1161\/CIRCULATIONAHA.106.681973","article-title":"Contemporary management of postcatheterization pseudoaneurysms","volume":"115","author":"G W Webber","year":"2007","journal-title":"Circulation"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1016\/j.crad.2008.07.001","article-title":"Iatrogenic femoral artery pseudoaneurysms\u2013a review of current methods of diagnosis and treatment","volume":"63","author":"F Ahmad","year":"2008","journal-title":"Clin Radiol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/0741-5214(91)90341-Q","article-title":"Clinical characteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional versus diagnostic procedures","volume":"13","author":"L M Messina","year":"1991","journal-title":"J Vasc Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1148\/radiology.195.2.7724767","article-title":"Incidence of pseudoaneurysm after diagnostic and therapeutic angiography","volume":"195","author":"R Katzenschlager","year":"1995","journal-title":"Radiology"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1097\/01.RVI.0000071089.76348.6A","article-title":"Current treatment methods for postcatheterization pseudoaneurysms","volume":"14","author":"R Morgan","year":"2003","journal-title":"J Vasc Interv Radiol"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1080\/AC.68.3.2983422","article-title":"An alternative noninvasive technique for the treatment of iatrogenic femoral pseudoaneurysms: stethoscope-guided compression","volume":"68","author":"A Korkmaz","year":"2013","journal-title":"Acta Cardiol"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/j.jcma.2012.06.020","article-title":"Ultrasound-guided compression repair of peripheral artery pseudoaneurysm: 8 years' experience of a single institute","volume":"75","author":"T L Huang","year":"2012","journal-title":"J Chin Med Assoc"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s11604-011-0049-0","article-title":"Percutaneous fluoroscopically guided n-butyl cyanoacrylate (NBCA) injection for iatrogenic femoral arterial pseudoaneurysm under temporary balloon occlusion of arterial blood flow","volume":"30","author":"M Nakai","year":"2012","journal-title":"Jpn J Radiol"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"841.e1","DOI":"10.1016\/j.avsg.2011.01.010","article-title":"Treatment of a recurrent false aneurysm of the femoral artery by stent\u2013graft placement from the brachial artery","volume":"25","author":"Y Orimoto","year":"2011","journal-title":"Ann Vasc Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"211","DOI":"10.4103\/ijri.IJRI_332_18","article-title":"Endovascular treatment of refractory iatrogenic femoral artery pseudoaneurysm using Amplatzer vascular plugs following unsuccessful retrograde Angio-Seal deployment","volume":"29","author":"E J Loh","year":"2019","journal-title":"Indian J Radiol Imaging"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1007\/s00270-022-03332-7","article-title":"Transaneurysmal occlusion of complicated common femoral artery pseudoaneurysms using the Angio-Seal closure device-a promising technique","volume":"46","author":"T A Auer","year":"2023","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.jccase.2021.10.003","article-title":"Novel interventional technique for the treatment of an iatrogenic pseudoaneurysm of the brachial artery","volume":"25","author":"Y Inagaki","year":"2021","journal-title":"J Cardiol Cases"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.cld.2008.09.008","article-title":"Hyperfibrinolysis in liver disease","volume":"13","author":"D Ferro","year":"2009","journal-title":"Clin Liver Dis"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"383","DOI":"10.2214\/ajr.147.2.383","article-title":"Coagulation of aneurysms by direct percutaneous thrombin injection","volume":"147","author":"C Cope","year":"1986","journal-title":"AJR Am J Roentgenol"}],"container-title":["Indian Journal of Radiology and 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