| Treatment of iatrogenic femoral pseudoaneurysm by ultrasound-guided compression therapy and thrombin injection. | |
MedLine Citation:
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PMID: 17875956 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Development of an arterial pseudoaneurysm is a common complication following cardiac catheterization. We analyzed data from 6,300 patients who received left heart catheterization at our institution. One day after the procedure, approximately 10% of the patients were examined with duplex sonography. In 204 patients (3.0%), a pseudoaneurysm of the femoral artery was diagnosed. All patients underwent compression therapy. Thereby, 159 of the pseudoaneurysms could be treated successfully. The remaining 45 pseudoaneurysms had a maximal diameter of more than 1.5 cm. Forty-two patients underwent ultrasound and biopsy-line-guided thrombin injection without complications. This strategy resulted in a successful occlusion in 41 cases. Pseudoaneurysms smaller than 2 cm can be treated with compression therapy. Larger pseudoaneurysms can be occluded by thrombin injection using ultrasound guidance. Patients with a pseudoaneurysm with a wide "neck" should be treated surgically, because the risk of an arterial occlusion following thrombin injection cannot be excluded. |
Authors:
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Mark Luedde; Ulrike Krumsdorf; Joerg Zehelein; Boris Ivandic; Thomas Dengler; Hugo A Katus; Christiane Tiefenbacher |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Angiology Volume: 58 ISSN: 0003-3197 ISO Abbreviation: Angiology Publication Date: 2007 Aug-Sep |
Date Detail:
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Created Date: 2007-09-18 Completed Date: 2007-10-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 435-9 Citation Subset: IM |
Affiliation:
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Department of Cardiology, University of Heidelberg, Germany. mark.luedde@med.uni -heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False*
/
etiology,
therapy,
ultrasonography Femoral Artery / injuries*, ultrasonography Follow-Up Studies Heart Catheterization / adverse effects* Hemostatic Techniques* Hemostatics / administration & dosage* Humans Iatrogenic Disease Injections, Intra-Arterial Pressure Retrospective Studies Thrombin / administration & dosage* Treatment Outcome Ultrasonography, Doppler, Duplex* |
| Chemical | |
Reg. No./Substance:
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0/Hemostatics; EC 3.4.21.5/Thrombin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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