Nonsurgical Management of a Complicated Iatrogenic Pseudoaneurysm of the Superficial Femoral Artery

Kwok-Wan Yeung, Cheng-Ju Wu

Abstract: This case report describes the successful nonsurgical management of a large, complicated iatrogenic pseudoaneurysm of the right superficial femoral artery in an 89-year-old female following coronary arteriography. Despite initial rapid expansion of a groin hematoma and imaging confirmation of a 7.3 cm pseudoaneurysm, conservative management using repeated manual compression was pursued. Follow-up sonography revealed hematoma without Doppler flow by day 4, and the patient?s symptoms resolved fully by day 46. This case challenges conventional interventionist approaches by highlighting the potential role of prolonged manual compression, even in complex presentations, and underscores the utility of Doppler imaging in monitoring treatment outcomes.

Keywords: pseudoaneurysm, superficial femoral artery, manual compression, Doppler ultrasonography, iatrogenic complication

How to Cite?: Kwok-Wan Yeung, Cheng-Ju Wu, "Nonsurgical Management of a Complicated Iatrogenic Pseudoaneurysm of the Superficial Femoral Artery", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 872-876, https://www.ijsr.net/getabstract.php?paperid=SR251109151744, DOI: https://dx.doi.org/10.21275/SR251109151744