Postangiographic femoral artery pseudoaneurysms: further experience with US-guided compression repair.

Coley, Brian D.; Roberts, Anne C.; Fellmeth, Brian D.; Valji, Karim; Bookstein, J J; Hye, Robert J.

doi:10.1148/radiology.194.2.7824703

Cited by 175 publications

(111 citation statements)

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“…6 Treatment of scrotal hematoma has ranged from conservative measures, including scrotal elevation and resuscitation with IV crystalloids or blood products, to open surgical options. 4 Ultrasound-guided compression 7 and ultrasound-guided thrombin injection 8 are noninvasive measures that are effective for femoral artery pseudoaneurysms, but these measures are unlikely to be effective for unrestrained obvious bleeding. Endovascular balloon tamponade is a minimally invasive option that is frequently successful 9 and offers the option to use covered stents in case of failure.…”

Section: Discussionmentioning

confidence: 99%

Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access?

Askari

Khouzam

Dishmon

2017

TPJ

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Section: Discussionmentioning

confidence: 99%

Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access?

Askari

Khouzam

Dishmon

2017

TPJ

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“…The success rate in patients with pseudoaneurysms larger than 2 cm in diameter, obese patients, and patients taking anticoagulant therapy is 25% to 35%. The recurrence rate is 20% in these patients [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

The Clinical Management of Complex Pseudoaneurysms of the Femoral Artery

Zaiwei

Tian²,

Ma³

et al. 2014

J Cardiovasc Dis Diagn

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Objective: To evaluate the clinical course of patients treated for multiple perforations, complex femoral artery pseudoaneurysms.Methods: Seven patients with multiple perforations, complex pseudoaneurysms after femoral artery access for interventional procedures were treated. Ultrasound-guided thrombin injection (UGTI) was first used for treatment. Patients failing repeated UGTIs were treated with fibrin sealant injections. Results:Five of the seven patients treated with UGTIs had rapid thrombus formation within the pseudoaneurysm. Two patients refractory to UGTI had successful treatment using fibrin sealant injection. There were no complications and the overall cure rate was 100%. Conclusions:Treatment of complex femoral artery pseudoaneurysms is safe and effective. UGTI and fibrin sealant are useful in the treatment of complex pseudoaneurysms.

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“…14 Multiloculated aneurysms with possible high pressure inside require a longer time for successful compression. 21 Compression therapy may be less successful in the long-standing aneurysms with possible endothelialization of the tract, 17 large-sized aneurysms, and definitely in patients who receive high levels of anticoagulation.…”

Section: Discussionmentioning

confidence: 99%

“…USGC may be contraindicated in the presence of a large groin hematoma with overlying skin ischemia, signs of infection and in injuries at or above the inguinal ligament. 17,21 The procedure itself carries particular risks of femoral artery thrombosis or distal embolization. 14,17 Factors such as hand fatigue of the operator and patient intolerance of the compression (one patient in our series) may be important, and can cause failure.…”

Section: Discussionmentioning

confidence: 99%

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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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Postangiographic femoral artery pseudoaneurysms: further experience with US-guided compression repair.

Abstract: UGCR is a simple and expedient method for the treatment of postcatheterization femoral artery pseudoaneurysms.

Cited by 175 publications

References 0 publications

Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access?

Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access?

The Clinical Management of Complex Pseudoaneurysms of the Femoral Artery

Management Plan of Post-Angiography False Aneurysms of the Groin

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