Abstract
RATIONALE: 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. PATIENT CONCERNS: A patient with multiple post-intervention pseudoaneurysms sought effective, minimally invasive treatment to avoid conventional therapy drawbacks. DIAGNOSES: Multiple common femoral artery pseudoaneurysms were diagnosed via clinical assessment and imaging after interventional puncture. INTERVENTIONS: X-ray fluoroscopy-guided balloon blocking plus thrombin injection was performed to induce pseudoaneurysm lumen thrombosis. OUTCOMES: No treatment complications occurred; fluoroscopy enabled accurate occlusion visualization. Complete pseudoaneurysm occlusion was confirmed at 1-month follow-up. LESSONS: This approach is viable for pseudoaneurysms refractory to compression or ultrasound-guided thrombin injection, serving as a useful supplement to traditional compression.