Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis

García, Enrique San Norberto; González-Fajardo, José-Antonio; Gutiérrez, Vicente Guilarte; Carrera, S.; Vaquero, Carlos

doi:10.1510/icvts.2008.188623

Cited by 35 publications

(29 citation statements)

References 16 publications

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“…The disadvantage of surgical treatment lies in the high rate of postoperative complications. In our sample, 33% of the patients developed postoperative complications, most of which related to wound healing, which is similar to that reported in other studies [16]. The apparently high rate of complications (33.3%) in surgical patients is primarily considered to be caused by the severity of the disease in that negatively preselected patient cohort.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Management of Groin Pseudoaneurysms: Indications and Outcomes for Thrombin Injection vs. Surgical Treatment

Horn¹,

Stahlberg²,

Goltz³

et al. 2017

Vasc Med Surg

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Section: Discussionsupporting

confidence: 89%

“…Finally there are no defined limitations to surgical treatment. There were no deaths in the operative group in our sample as compared with previously reported mortality rates of 3.8% to 7.9% [16]. The disadvantage of surgical treatment lies in the high rate of postoperative complications.…”

Section: Discussioncontrasting

confidence: 55%

Management of Groin Pseudoaneurysms: Indications and Outcomes for Thrombin Injection vs. Surgical Treatment

Horn¹,

Stahlberg²,

Goltz³

et al. 2017

Vasc Med Surg

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“…Traditionally, surgical repair has been the main treatment for FAP, especially when pseudoaneurysm larger than 4 cm is indicated or when anticoagulation or GPIIbIIIa inhibitors are extensively used during the procedure 4). However, it has been reported that surgical complications occurred in 71% of cases including the need for transfusion (53%), infection (19%), wound dehiscence (12.7%) and mortality (3.8%) 5). Recently, successful closures of pseudoaneurysms using nonsurgical techniques have been reported in many institutes.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of an Iatrogenic Giant Femoral Artery Pseudoaneurysm With Percutaneous Thrombin Injection

et al. 2010

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A femoral artery pseudoaneurysm (FAP) is one of the most troublesome complications following invasive procedures related to the femoral arterial access. Post-procedure FAP rarely occurs; however, its occurrence tends to increase with the more frequently antiplatelet agents, anticoagulants, and larger-sized catheter used for interventional procedures. Traditionally, surgical repair has been considered as the standard treatment modality for FAP; however, less invasive methods currently exist such as blind manual or ultrasound-guided compression repair (UGCR) as well as percutaneous thrombin injection, both of which have replaced the need for surgery. We report a case of a giant pseudoaneurysm in a femoral artery, which had developed as a complication of stenting in a patient with carotid artery stenosis and ischemic heart disease, and was subsequently successfully treated using percutaneous thrombin injection.

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“…Its incidence on diagnostic catheterization ranges from 0.05% to 2%, but after coronary or peripheral interventions, this percentage is growing from 2% up to 6% (2). Th e pseudoaneurysm formed on such way often undergoes thrombosis, spontaneously within a few weeks, however, those larger than 1.8 cm in diameter or pseudoaneurysm occurring in patients treated with anticoagulation therapy usually has to be surgically treated (3). Th e smaller caliber of arteries which is specifi c for the female gender, as well as diffi cult catheterization and insuffi cient post-procedural compression of the arteries in obese patients are the main cause of frequent complication (4).…”

Section: Introductionmentioning

confidence: 99%

The incidence of vascular complications after coronary angiography: evaluation of results and risk factors

Vranić¹,

Haxhibeqiri-Karabdić²,

Hadžimehmedagić³

2014

JHSCI

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Introduction:The aim of this study was to present the incidence of the vascular complications that had to be surgically treated during the two-year period of transfemoral cardiac catheterization procedure and to identify the risk factors associated with the complications. Methods:A retrospective two-year study of post-catheterization complications with the six-month postoperative follow-up and analysis of risk factors was done. Patients with cardiovascular diseases who underwent therapeutic or diagnostic coronary angiography in the period of 2012-2013 were included in the study. A total of 1320 patients were subjected to catheterization for coronary angiography, of which 24 had vascular complications that had to be surgically treated. Indications for operative treatment included rapid growth of pseudoaneurysm, hemorrhage, large hematoma, hemodynamic instability, failure of the targeted compression therapy. Results:Twenty-four patients experienced some kind of post-operative complication. Infection and dehiscence of surgical wound were the two most common complications. There were no fatalities. The average length of a hospitalization was 4 days. The important risk factors are gender (women more than man), obesity, concomitant use of anticoagulation therapy and antiplatelet therapy after catheterization. Conclusion:Insuffi cient length of the compression of the punctured place and increased risks of a pseudoaneurysm formation, such as female gender, obesity, and use of a combined anticoagulant therapy are the main causes of these complications. Late vascular complications are not uncommon.

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Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis

Cited by 35 publications

References 16 publications

Management of Groin Pseudoaneurysms: Indications and Outcomes for Thrombin Injection vs. Surgical Treatment

Management of Groin Pseudoaneurysms: Indications and Outcomes for Thrombin Injection vs. Surgical Treatment

Successful Treatment of an Iatrogenic Giant Femoral Artery Pseudoaneurysm With Percutaneous Thrombin Injection

The incidence of vascular complications after coronary angiography: evaluation of results and risk factors

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