Document Detail


Postcatheterization femoral artery pseudoaneurysms: therapeutic options. A case-controlled study.
MedLine Citation:
PMID:  18455971     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Postcatheterization femoral artery pseudoaneurysm is a troublesome complication following percutaneous canulations of the femoral artery. Both diagnostic and therapeutic options in the management of these pseudoaneurysms have changed dramatically, with surgery being required only rarely. We aimed to perform a comprehensive review of our experience, techniques and results in treating postcatheterization femoral artery pseudoaneurysms. METHODS: A retrospective study of all patients presenting with local complications following invasive percutaneous femoral artery canulations over a five-year period was performed. Physical examination with color Doppler ultrasound analysis identified 29 femoral artery pseudoaneurysms. Surgery, duplex-guided compression, and thrombin injection were the main therapeutic options. RESULTS: Fourteen cases of femoral artery pseudoaneurysms were treated by duplex-guided compression obliteration with a 78.5% success rate. Four patients had spontaneous thrombosis of their pseudoaneurysms. Five patients underwent percutaneous thrombin injection. Six patients had conventional surgery. Three cases failed duplex-guided compression: one closed with thrombin injection, and two were repaired surgically. Follow-up US showed no recurrent pseudoaneurysms for patients who underwent successful duplex-guided compression. CONCLUSION: Despite the voluminous data in the literature of treating postcatheterization femoral artery pseudoaneurysms by thrombin guided injection, as a quick and effective method of therapy, with infrequent failures and complications, our study confirms the clinical usefulness of duplex-guided compression in the management of these pseudoaneurysms. The possibility of spontaneous thrombosis of small pseudoaneurysms is emphasized.
Authors:
Hussein A Heis; Kamal E Bani-Hani; Mwaffaq A Elheis; Rami J Yaghan; Bayan K Bani-Hani
Publication Detail:
Type:  Journal Article     Date:  2008-03-19
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  6     ISSN:  1743-9159     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-16     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  214-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, False / etiology*,  therapy*,  ultrasonography
Anticoagulants / therapeutic use
Case-Control Studies
Catheterization, Peripheral / adverse effects*
Female
Femoral Artery* / ultrasonography
Hemostatic Techniques
Hemostatics / therapeutic use
Humans
Injections, Intra-Arterial
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Retrospective Studies
Thrombin / therapeutic use
Ticlopidine / analogs & derivatives,  therapeutic use
Ultrasonography, Doppler, Color
Ultrasonography, Interventional
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Hemostatics; 0/Platelet Aggregation Inhibitors; 55142-85-3/Ticlopidine; 90055-48-4/clopidogrel; EC 3.4.21.5/Thrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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