Incidence of pseudoaneurysm after diagnostic and therapeutic angiography.

Katzenschlager, Reinhold; Ugurluoglu, Ara; Ahmadi, A; Hülsmann, Martin; Koppensteiner, Renate; Larch, E; Maca, T.; Minar, Erich; Stümpflen, Andreas; Ehringer, H

doi:10.1148/radiology.195.2.7724767

Cited by 224 publications

(124 citation statements)

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“…There were recurrences in a total of 10 patients who subsequently underwent repeat USGC 8 or surgery. 2 We later demonstrated that USGC was successful in 56 (73%) of 77 patients who received anticoagulation. Seven (12.5%) of these patients required 2 or 3 compression attempts to induce sustained thrombosis.…”

Section: Ultrasound-guided Compressionmentioning

confidence: 90%

“…In 1 series where diagnostic ultrasound was performed on 536 consecutive patients who underwent catheterization, the incidence of PSA was 7.7%, with 83% of the PSAs associated with interventional procedures. 2 Despite a low incidence, PSAs are commonly encountered when more complex coronary and peripheral interventions are performed, especially with the use of potent antithrombotic and antiplatelet therapy. Since 1996, the number of peripheral interventions has more than doubled to an estimated 750 000 procedures in 2005.…”

mentioning

confidence: 99%

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Contemporary Management of Postcatheterization Pseudoaneurysms

et al. 2007

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Section: Ultrasound-guided Compressionmentioning

confidence: 90%

mentioning

confidence: 99%

Contemporary Management of Postcatheterization Pseudoaneurysms

et al. 2007

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“…Prospective series which screen every post-angiography groin tend to report higher incidences (7.7%, 6%). 12,13 Those patients who develop FA tend to be anticoagulated at the time of the development of the lesion (78%). 13 Kent et al tried to establish the natural history of 16 patients with clinically detected FAs and offered surgery only for symptoms doubling in size or persistent patency over a two-month period.…”

Section: Discussionmentioning

confidence: 99%

Management Plan of Post-Angiography False Aneurysms of the Groin

Souka

Buckenham

1999

Ann Saudi Med

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Background: False aneurysm (FA) of the groin is a potentially serious complication of angiographic procedures. We developed a management plan at St. George's Hospital, and prospectively applied it to 14 consecutive cases over a period of one year. Patients and Methods: This report is a prospective cohort study of post-angiography false aneurysms-. Fourteen patients with groin FA presented to the vascular team between October 1995 and September 1996 (0.2% of 6926 angiographic procedures). Nine of the 14 patients were fully anticoagulated at the time of treatment. Ultrasoundguided compression (USGC) was tried in 11 patients and was considered inappropriate in three. Embolization was attempted in four patients and surgery was needed in seven patients. Results: The initial angiographic procedure was therapeutic in nine and diagnostic in five patients. The median maximal dimension of the FA was 3 cm (range 2-5). USGC was successful in three patients and failed in eight, seven of them fully anticoagulated at the time of compression. Embolization of the FA was tried in four patients; all were anticoagulated, and embolization was successful. Surgery was required in seven patients, one with infected groin and bleeding, another with FA at the site of a groin graft anastomosis, three with concomitant evacuation of large groin hematomas, one who refused further angiographic procedures, and one who needed prolonged full anticoagulation before the availability of the embolization. The operation was successful in all the patients except one, who died of myocardial infarction 24 hours after successful surgical closure of a FA. Conclusion: FA can be managed in a step-wise manner, starting with the noninvasive USGC, embolization and surgery. Surgery is indicated if evacuation of a large hematoma is required, or the presence of infection is suspected. Emergency surgery is indicated for bleeding or imminent rupture.

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“…1,3 Psö do a nev riz ma in si dan sı nı ar tı ran fak tör ler ara sın da ponk si yon tek ni ği, kom pres yon tek ni ği, kul la nı lan she at ka lın lı ğı gi bi an ji og ra fi uy gu la yı -cı sı na bağ lı özel lik ler var dır. Bir kıs mı ise yay gın pe ri fe ral ar ter has ta lı ğı, hi per tan si yon, obe si te, anti ko a gü lan kul la nı mı, trom bo si to pe ni gi bi has ta ile il gi li fak tör ler dir.…”

Section: Tar Tiş Maunclassified