Nonsurgical closure of femoral pseudoaneurysms complicating cardiac catheterization and percutaneous transluminal coronary angioplasty

Abstract

This study suggests that nonsurgical closure of femoral pseudoaneurysms is feasible. This technique may be valuable in managing vascular access-related complications after diagnostic and interventional procedures, even in patients requiring prolonged anticoagulant therapy.

Ultrasound-guided compression repair for treatment of femoral artery pseudoaneurysm: Acute and follow-up results

“…Previous percutaneous nonsurgical closure of pseudoaneurysm has been achieved by direct intracavity injection of thrombin as well as transcatheter embolization, but these techniques are invasive and they had the same risks as direct surgical repair [23,24]. Incidences of vascular injuries after cardiac and vascular catheterization of 0.2-9% are reported in the literature [6,7,12,25,26]. Recent studies have shown a pseudoaneurysm rate of 1.6% after diagnostic catheterization and 0.7-6.3% after interventional procedures [3,[5][6][7]17,25].…”

Pseudoaneurysm after cardiac catheterization: Therapeutic interventions and their sequelae: Experience in 86 patients

“…Fellmeth et al [20,21] introduced ultrasound guided compression repair as a method for inducing thrombosis of the lesion by direct compression on the tract of the pseudoaneurysm. Subsequent reports [13,[22][23][24][25] confirmed a high success rate (93%-100%) and a low morbidity. Our study demonstrates the superiority of ultrasound guided compression over repeated compression bandages with a success rate of 87% versus 56% (P 5 0.016).…”

Pseudoaneurysm of the ulnar artery following use of an external fixator-a case report

“…Von Kuster et al (1980) propose simple resection, while Martin and Manktelow (1982) and Rothkopf et al (1990) added a vascular reconstruction. More recently, treatment by compression, possibly guided by echography, has been favored for femoral aneurysms (Altkin et al 1989, Agrawal et al 1992, Feld et al 1992, Mac Glinckey and Baxter 1997. However, there are no recent reports on the treatment of ulnar pseudoaneurysms.…”