Alternative treatment for postcatheterisation femoral false aneurysm

Abstract

The incidence of femoral postcatheteriation pseudoaneurysm ranges from 0.1 to 2.0% in diagnostic procedures to 5% in therapeutic procedures. There are several treatment options for pseudoaneurysms, from conservative management to conventional surgical intervention. For medium-sized pseudoaneurysms, ultrasound-guided compression repair or percutaneous injection of thrombin/coagulation factor XIII are the treatments of choice. In this paper, we describe two cases of post-therapeutic catheterization pseudoaneurysm, in which endovascular and conventional surgery were combined. The association of these two modalities of treatment decreased blood loss in comparison with conventional surgery alone, besides reducing surgical trauma and hospital stay.

Pseudoaneurisma traumático em artéria braquial após retirada de implante contraceptivo subdérmico

“…For many years, the only treatment option was immediate open repair to prevent expansion of the pseudoaneurysm. 6 Nowadays, there are variations on the same technique and less invasive options. Noninvasive options include conservative treatment with meticulous outpatients monitoring for small pseudoaneurysms and compression with Doppler ultrasound.…”

Bilateral post-arterial puncture pseudoaneurysm in a patient with amyloidosis

“…False aneurysms occur more frequently among older people and have direct associations with anticoagulation and hypertension. 1,2 Comorbidities, such as amyloidosis, appear to contribute to this type of complication; but the relationship has not yet been proven scientifically.…”

“…Tr e a t m e n t o f p o s t -p u n c t u r e a r t e r i a l pseudoaneurysms can range from conservative management, for lesions smaller than 2 cm -through compression with the Doppler machine transducer and injection of thrombin -to conventional surgical or endovascular treatment. 2,5,7 For many years the only treatment option was immediate open repair to prevent expansion and complications, such as thromboembolism. Nowadays, variants of the same technique and less-invasive alternatives are options in certain cases.…”

“…The incidence of pseudoaneurysms after catheterization via the femoral in diagnostic procedures varies from 0.1 to 2.0%, reaching 5% in therapeutic procedures. 1,2 The amyloidoses are a heterogeneous group of diseases that involve deposition of insoluble fibrillar proteins in tissues and organs. There are abnormalities of protein folding that cause deposition of insoluble amyloid fibrils, primarily in the extracellular spaces of organs and tissues.…”

Post-catheterization giant pseudoaneurysm of the femoral artery: an delayed clinical presentation

“…Furthermore pseudoaneurysm can cause pain, tenderness and local skin ischemias depending on pressure [2]. Rupture is the most severe complication of pseudoaneurysm.…”