Document Detail

New aspects in ultrasound-guided compression repair of postcatheterization femoral artery injuries.
MedLine Citation:
PMID:  7923673     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study was undertaken to expand the understanding of ultrasound-guided compression repair (UGCR) of postcatheterization femoral artery injuries. METHODS AND RESULTS: In a series of 62 patients with pseudoaneurysms (n = 53) or arteriovenous (AV) fistulas (n = 9), UGCR was performed as a nonsurgical method in the treatment of postcatheterization femoral artery injuries. When the communicating channel could be visualized (43 cases), pressure was focused on it; otherwise (10 cases) the extraluminal cavity itself was compressed. In 45 cases, the elimination of flow in the pseudoaneurysm and/or the communicating channel could be achieved only with simultaneous temporary complete occlusion of the femoral artery. UGCR was successfully performed in 25 of 27 cases of false aneurysms (93%) in patients without anticoagulation and in 14 of 26 patients (54%) on anticoagulants. Three of 9 AV fistulas could be repaired by this method. No apparent correlation could be found between the therapeutic success and the size of the pseudoaneurysm or the age of the lesion. CONCLUSIONS: In patients on anticoagulants and in patients with AV fistulas, the detection of a communicating channel that could be obliterated by direct mechanical compression was discerned as a discriminant factor of success.
F Schaub; W Theiss; M Heinz; M Zagel; A Schömig
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  90     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-11-10     Completed Date:  1994-11-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1861-5     Citation Subset:  AIM; IM    
Erste Medizinische Klinik und Poliklinik, Technischen Universität München, Klinikum Rechts der Isar, Germany.
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MeSH Terms
Aged, 80 and over
Aneurysm, False / therapy
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Arteriovenous Fistula / therapy
Catheterization / adverse effects*
Femoral Artery / injuries*
Heart Catheterization / adverse effects*
Middle Aged
Wounds and Injuries / therapy*

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