Document Detail

Ultrasound guided compression therapy in 134 patients with iatrogenic pseudo-aneurysms: advantage of routine duplex ultrasound control of the puncture site following transfemoral catheterization.
MedLine Citation:
PMID:  9174387     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The following study was designed to evaluate the effectiveness and safety of ultrasound guided compression therapy (UGCT) of iatrogenic postcatheterization pseudo-aneurysms (PA) on the one hand and to justify the usefulness of the routine colour duplex control of the puncture site following transfemoral catheterization, on the other hand.
MATERIAL AND METHODS: During the study period 142 patients with (PA) following transfemoral catheterization were identified by means of colour duplex examination Eighty of these 142 patients were identified during a routine colour duplex control of the puncture site the day after PTA/angiography because of peripheral arterial occlusive disease (PAOD) [group A]; the remaining 62 patients with symptomatic groins were referred from other departments [group B].
RESULTS: In 8 patients of group B UGCT was considered to be contra-indicated, they were primarily treated by surgical repair of the PA. A total of 134 patients (group A 80 patients, group B 54 patients) underwent an UGCT. In total the success rate of UGCT was in group A 100% and in group B 78%. 12/54 patients (all group B) with failure of UGCT underwent a secondary surgical repair of the PA. Within group B there was a negative correlation between delay of diagnosis/UGCT and success (p < 0.04), whereas the size of the sheath did not influence the outcome of the UGCT (p = 0.3).
CONCLUSION: Our study confirms the effectiveness and safety of UGCT. Routine colour duplex control of the puncture site the day following the removal of the sheath after percutaneous catheterization and UGCT of PAs without delay can increase the success rate of UGCT and minimize the need for surgical repair of PAs.
A Ugurluoglu; R Katzenschlager; R Ahmadi; M Atteneder; R Koppensteiner; G Lang; T Maca; E Minar; B Schneider; A Stümpflen; H Ehringer
Related Documents :
25129537 - Revision urethroplasty success is comparable to primary urethroplasty: a comparative an...
11265887 - Treatment of infrapopliteal occlusive disease by high-speed rotational atherectomy: ini...
8627907 - Iliac artery stenoses after percutaneous transluminal angioplasty: follow-up with duple...
23088487 - Long-term changes of sexual function in men with obstructive sleep apnea after initiati...
3234417 - Infective endocarditis in children with congenital heart disease: the changing spectrum...
19329467 - Comparison of the bedside central venous catheter placement techniques: landmark vs ele...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  26     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-17     Completed Date:  1997-07-17     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  110-6     Citation Subset:  IM    
Department of Medical Angiology, University of Vienna.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aneurysm, False / therapy*,  ultrasonography
Arteriovenous Fistula / therapy*,  ultrasonography
Catheterization, Peripheral / instrumentation*
Femoral Artery / injuries*,  ultrasonography
Hematoma / therapy,  ultrasonography
Iatrogenic Disease
Middle Aged
Treatment Outcome
Ultrasonography, Doppler, Color / instrumentation*

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

Previous Document:  Gasless videoendoscopic implantation of aortobifemoral vascular prostheses via a transperitoneal app...
Next Document:  Effects of adjuvant PGE1 therapy following profundaplasty in patients with severe limb ischaemia. Ea...