Document Detail


Treatment of iatrogenic femoral pseudoaneurysm by ultrasound-guided compression therapy and thrombin injection.
MedLine Citation:
PMID:  17875956     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Mark Luedde; Ulrike Krumsdorf; Joerg Zehelein; Boris Ivandic; Thomas Dengler; Hugo A Katus; Christiane Tiefenbacher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  58     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2007 Aug-Sep
Date Detail:
Created Date:  2007-09-18     Completed Date:  2007-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  435-9     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University of Heidelberg, Germany. mark.luedde@med.uni -heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
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:
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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