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

Zahn, Ralf; Thoma, Sylvia; Fromm, Elke; Lotter, R.; Zander, Matthias; Seidl, Karlheinz; Senges, Jochen

doi:10.1002/(sici)1097-0304(199701)40:1<9::aid-ccd3>3.0.co;2-g

Cited by 30 publications

(6 citation statements)

References 25 publications

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“…Eight retrospective studies were identified and included in this report ( 20 – 27 ). Tables 1 , 2 showed the baseline characteristics of the patients included in our analysis.…”

Section: Resultsmentioning

confidence: 99%

Non-Surgical treatment Versus Surgery for Iatrogenic Femoral Artery Pseudoaneurysms: Systematic Review and Meta-Analysis

Zhang

et al. 2022

Front. Surg.

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ObjectivesThis study compared results of non-surgical treatment (compression and ultrasound guided thrombin injection (UGTI)) and surgery to treat iatrogenic femoral artery pseudoaneurysms.MethodsPubMed and Embase databases were searched up to October 2021. Primary outcome measure was success rate, and other outcomes examined were complication rate, reintervention rate. Two authors independently reviewed and extracted data. Data were presented as the odds ratios (ORs) with 95% confidence intervals (CIs). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to appraise the quality of the body of evidence.ResultsEight studies were included. A total of 623 patients with pseudoaneurysm undergoing treatment were included, of which 163 subjects underwent surgery, 397 subjects underwent compression, and 63 subjects underwent UGTI. The success rate was significantly lower in the non-surgery group (OR 0.24, 95% CI, 0.08–0.69, I2 = 0%). The complication rate was significantly lower in the non-surgery group (OR 0.10, 95% CI, 0.03 –0.29, I2 = 0%). Patients in the non-surgery group tended to have a lower, but statistically insignificant, reintervention rate (OR 0.11, 95% CI, 0.01–1.06, I2 = 35%). Further, the GRADE assessment showed that these results (success rate, complication rate, and reintervention rate) were of very low quality.ConclusionsAvailable evidence shows that it is reasonable to regard non-surgical treatment as the primary treatment for iatrogenic femoral artery pseudoaneurysms, and surgery as a remedy after failure of non-surgical treatment in some cases.

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“…Eight retrospective studies were identified and included in this report ( 20 – 27 ). Tables 1 , 2 showed the baseline characteristics of the patients included in our analysis.…”

Section: Resultsmentioning

confidence: 99%

Non-Surgical treatment Versus Surgery for Iatrogenic Femoral Artery Pseudoaneurysms: Systematic Review and Meta-Analysis

Zhang

et al. 2022

Front. Surg.

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“…Complications of pseudoaneurysms of the femoral artery following catheterization include rupture, distal embolization, pressure on adjacent nerves and veins, and local pain 2 . Alternatives to surgical management of pseudoaneurysms have been described including compression bandage 3,4 and ultrasound‐guided compression 3–6,9,10,11 …”

Section: Discussionmentioning

confidence: 99%

“…Although traditionally surgical repair has been performed, more recently, ultrasound‐guided compression has been used to thrombose these aneurysms 3–9 . This is a fairly lengthy procedure and frequently painful for the patient and has variable success.…”

Section: Introductionmentioning

confidence: 99%

Treatment of iatrogenic femoral artery false aneurysms with ultrasound‐guided thrombin injection

Ramsay

Marshall

2002

Australasian Radiology

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The aim of this paper is to review our results of treating iatrogenic pseudoaneurysms of the femoral artery with ultrasound-guided thrombin injection. A retrospective review was carried out of all patients referred for this procedure over a 1-year period from December 1999 to December 2000. Forty-five patients were referred and, of these, 44 were eligible for this treatment, with 300-2500 units of thrombin being injected directly into the false aneurysms under ultrasound guidance. The procedure was well tolerated with no patients requiring sedation or analgesia. There was a primary success rate of 95%, although in four of the patients, there was recurrence on repeat ultrasound performed 2-5 days post-procedure and a second injection of thrombin was required for permanent thrombosis to be achieved. No complications relating to the procedure occurred. Our results confirm increasing evidence in the published research that thrombin injection of femoral artery false aneurysms is a safe and effective treatment.

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“…Factors that negatively affect the success of compression are anticoagulation status, pseudoaneurysm size (higher success rates for pseudoaneurysms less than 2 cm) and obesity [4]. Complication rates of this method are reported to be about 2.4-4.3% in some studies [20,43,46]. Possible complications are rupture, skin necrosis, venous thrombosis and distal embolization.…”

Section: Treatmentmentioning

confidence: 99%

Interventional treatment options in pseudoaneurysms: different techniques in different localizations

Sarıoğlu¹,

Çapar²,

Belet³

2019

Pol J Radiol

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Pseudoaneurysms are commonly experienced vascular abnormalities. The increase in the number of surgical and arteriographic procedures has caused a higher prevalence of pseudoaneurysms. Conventional angiography is still the gold standard method for diagnosis, but other imaging modalities such as duplex Doppler ultrasonography, magnetic resonance angiography and computed tomographic angiography are useful in noninvasive detection. Over the past few years, interventional radiological treatment has evolved and taken the place of surgery in management. There are different kinds of percutaneous and endovascular treatment methods in pseudoaneurysm management. Treatment options depend on certain conditions. We used a case-based approach to discuss pseudoaneurysms and their appropriate treatment by interventional radiological methods in this article.

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

Cited by 30 publications

References 25 publications

Non-Surgical treatment Versus Surgery for Iatrogenic Femoral Artery Pseudoaneurysms: Systematic Review and Meta-Analysis

Non-Surgical treatment Versus Surgery for Iatrogenic Femoral Artery Pseudoaneurysms: Systematic Review and Meta-Analysis

Treatment of iatrogenic femoral artery false aneurysms with ultrasound‐guided thrombin injection

Interventional treatment options in pseudoaneurysms: different techniques in different localizations

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