Successful treatment of a femoral pseudoaneurysm by ultrasonographically-guided application of a suture-mediated closure device.

We treated successfully a man with a femoral artery pseudoaneurysm by ultrasonography-guided application of a suture-mediated closure device. Radiography was not needed, as a guide wire was placed into the femoral artery along the rupture under ultrasonographic guidance alone, and the femoral artery was then sutured with the vascular closure device. The pseudoaneurysm was then completely resolved. This novel approach, which minimizes risks and costs, may be a safe and acceptable option to control iatrogenic pseudoaneurysms, especially when thrombin injection is not feasible.