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Fig. 1. —Drawing illustrates percutaneous injection of thrombin directly into pseudoaneurysm lumen. Using attachable biopsy guide, 22-gauge spinal needle is advanced into lumen, carefully avoiding pseudoaneurysm neck and underlying artery. Once needle is in position, thrombin is slowly injected. Flow in lumen is monitored with color or power Doppler sonography. Formation of thrombus generally occurs within seconds. (Reprinted with permission from [22])

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