Femoral pseudoaneurysms and current cardiac catheterization: Evaluation of risk factors and treatment

Popovic, Batric; Freysz, Luc; Chometon, F.; Lemoine, Julien; Elfarra, Mazen; Angioı̈, Michaël; Selton-Suty, Christine; Chillou, Christian de; Aliot, E

doi:10.1016/j.ijcard.2008.11.111

Cited by 37 publications

(42 citation statements)

References 25 publications

(27 reference statements)

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“…The incidence of IPA has been reported as between 0.05% and 7.7% according to several reports (2-6). Typical access site for diagnostic and/or therapeutic catheterization is the common femoral artery (Figure 4) (5).…”

Section: Discussionmentioning

confidence: 99%

“…Among these, arterial hypertension, improper puncture site, thrombolytic-anticoagulant agent, and the larger size of the introducer used are the most important ones (2). Moreover, Popovic et al demonstrated that the access side is an important predictive factor for IPA development (2).…”

Section: Discussionmentioning

confidence: 99%

“…Pseudoaneurysm occurs from a post-puncture defect in the arterial wall with an extravasation of blood into the surrounding inguinal tissue forming a pulsatile hematoma (2). There are some factors that could increase the risk for IPA such as improper access site, multiple punctures, and insufficient post-procedural compression (3).…”

Section: Introductionmentioning

confidence: 99%

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Iatrogenic Superficial External Pudendal Artery Pseudoaneurysm: Treatment with Doppler US-Guided Compression

2014

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Pseudoaneurysms rarely occur as a serious complication following incomplete hemostasis of an arterial puncture site. As a result of the increase in diagnostic and therapeutic angiography, the frequency of iatrogenic pseudoaneurysm has increased as well. Iatrogenic pseudoaneurysms associated with angiographic catheterization occur most commonly in the common femoral artery. Here we report a case of iatrogenic superficial external pudendal artery (SEPA) pseudoaneurysm following cardiac catheterization, which was diagnosed with Doppler ultrasound (US) and multidetector computed tomographic angiography (MDCTA) before Doppler US-guided compression therapy. To the best of our knowledge, iatrogenic SEPA pseudoaneurysm, which is an unusual vessel location for pseudoaneurysm occurrence, has not been reported in the literature. In patients in whom anticoagulant-thrombolytic therapy or therapeutic catheterization with larger sized sheath is planned, determination of the precise localization of arterial puncture site is important for the prevention of iatrogenic pseudoaneurysm development. Arterial puncture guided with Doppler US might reduce complications. When suspected, MDCTA is useful in the diagnosis and demonstration of iatrogenic pseudoaneurysms. Treatment of US-guided compression should be the first choice for iatrogenic pseudoaneurysms. Interventional radiologists and cardiologists should have enough experience about the catheterization complications and their treatment in order to decrease the morbidity and mortality related to the intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Iatrogenic Superficial External Pudendal Artery Pseudoaneurysm: Treatment with Doppler US-Guided Compression

2014

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“…Popovic et al found a left groin puncture to be associated with an increased risk of FPA. 34 Physical examination findings often include groin hematoma and associated pain at the puncture site, occasionally a bruit can be detected with auscultation. Ultrasound is the mainstay in making the diagnosis of this postcatheterization complication.…”

Section: Pseudoaneurysmsmentioning

confidence: 99%

Complications Related to Femoral Artery Access for Transcatheter Procedures

Stone

Campbell

2012

Vasc Endovascular Surg

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Percutaneous-based procedures continue to increase as endovascular techniques improve and provide a less morbid approach than the open vascular procedures. The most common complications associated with either cardiac interventions or peripheral interventions involve the access point of the procedure. The retrograde femoral access has and is currently the most frequently used arterial access. Vascular surgeons have been responsible for management of complications following femoral-based procedures and now are a significant contributor to catheter-based diagnostic and interventional procedures. This review provides in-depth review of the literature on specific complications encountered during percutaneous femoral artery puncture. This review includes access complications related to the method of obtaining access (ie, best pulse fluoroscopic guided), direction of access either retrograde or antegrade, risk factors and incidence of complications based on best literature sources, and management strategies for specific complications.

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“…clinical vs. routine ultrasonography). [3][4][5] Evolution of pseudoaneurysms management has occurred over the past several decades with minimally invasive ultrasound-based techniques predominating interventions. 6 Surgical management, which was the primary therapy for failed observation, is now typically reserved for unsuccessful duplex-guided compression or thrombin injections.…”

Section: Introductionmentioning

confidence: 99%

Ten-Year Experience of Vascular Surgeon Management of Iatrogenic Pseudoaneurysms: Do Anticoagulant and/or Antiplatelet Medications Matter?

Stone

Martínez

Thompson

et al. 2016

Annals of Vascular Surgery

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Femoral pseudoaneurysms and current cardiac catheterization: Evaluation of risk factors and treatment

Cited by 37 publications

References 25 publications

Iatrogenic Superficial External Pudendal Artery Pseudoaneurysm: Treatment with Doppler US-Guided Compression

Iatrogenic Superficial External Pudendal Artery Pseudoaneurysm: Treatment with Doppler US-Guided Compression

Complications Related to Femoral Artery Access for Transcatheter Procedures

Ten-Year Experience of Vascular Surgeon Management of Iatrogenic Pseudoaneurysms: Do Anticoagulant and/or Antiplatelet Medications Matter?

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