Ultrasound diagnosis and management of post-catheterization femoral artery psudoaneurysm

Aim: to make the provisional etiological diagnosis on the basis of history,physical examination and noninvasive investigations and to start the treatment immediately. study design: prospective and comparative study. duration of study: prospective and comparative study. place of study: ch pervaiz elahi institute of cardiology,multan. methodology: twenty male patients were analyzed with signs and symptoms of acute coronary artery syndrome (acs). cardiac angiography was advised for evaluation of the coronary arterial tree. next day on examination of the punctured area pain,redness and swelling of the anterior aspect of the thigh was noticed and referred to radiology department for the evaluation of the involved region to document the presence of hematoma or fresh bleed. results: on grey scale soft tissue swelling and haematoma observed but in addition a cystic pulsatile mass was noted that was connected to the main femoral artery through a narrow neck and on doppler evaluation ying yang pattern of flow was observed that on spectral analysis confirmed our impression of pseudo aneurysm (psa). after that ultrasound guided direct manual compression of the neck was applied to the lesion in successive intervals until the characteristic clinical signs disappeared. then a compression bandage was applied for 24 hours. conclusion:- ultrasound with doppler plays a crucial task in the diagnosis of iatrogenic vascular abnormalities. usg demonstrates the crater of the psa,its size and link with the femoral artery.