Document Detail


Pseudoaneurysm of the femoral artery after cardiac catheterisation: diagnosis and treatment by manual compression guided by Doppler colour flow imaging.
MedLine Citation:
PMID:  8068475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the value of Doppler colour flow imaging for diagnosing and guiding non-surgical treatment of pseudoaneurysm of the femoral artery complicating cardiac catheterisation. DESIGN: A prospective study. SETTING: Cardiac department in a teaching hospital. PATIENTS: 9 patients (8 female, 1 male) who presented with pseudoaneurysm 1-15 days after cardiac catheterisation. INTERVENTIONS: The femoral arterial communication to the false aneurysm was localised by Doppler colour flow imaging. Manual pressure was then applied to the ultrasound transducer which was positioned directly over the site of the arterial communication. Pressure was progressively increased until it was sufficient to prevent colour flow from the artery into the false aneurysm cavity while allowing Doppler flow to continue within the arterial lumen. MAIN OUTCOME MEASURES: Characteristics of pseudoaneurysm, duration of manual compression, success rate, follow up. RESULTS: The pseudoaneurysms ranged from 1.3 to 5.5 cm in length. Six pseudoaneurysms were 1.3-2.0 cm away from the arterial puncture. The pseudoaneurysm was closed in 8/9 patients by compression exerted manually through the transducer for 25-40 minutes (3 successful cases required two or three periods of compression within 48 hours). No pseudoaneurysm recurred during 14-61 days of follow up. CONCLUSIONS: Most pseudoaneurysms of the femoral artery can be treated by a period of manual pressure applied with an ultrasound transducer and guided by Doppler colour flow.
Authors:
P Currie; C M Turnbull; T R Shaw
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  72     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-09-26     Completed Date:  1994-09-26     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  80-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Western General Hospital, Edinburgh.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm / etiology*,  therapy,  ultrasonography
Echocardiography, Doppler
Female
Femoral Artery* / ultrasonography
Heart Catheterization / adverse effects*
Humans
Intraoperative Period
Male
Middle Aged
Transducers, Pressure
Comments/Corrections

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