Abstract
Sixty femoral pseudoaneurysms were identified by colour Doppler flow imaging over a period of 27 months. One group (n = 42) was treated immediately by ultrasound-guided compression repair (UGCR). In the remaining 18 pseduaneurysms a conservative theraphy attempt, which was successful in 9 patients within 1 week, preceded UGCR. Unsuccessful conservative theraphy did not prejudice the feasibility and outcome of UGCR. the success rate (50 of 51 UGCR) was higher than that reported in the literature, but was at the expense of a longer compression time.Multiple parameters were correlated with the compression time. A significant correlation was found with the size of the perfused lumen in the pseudoaneurysm and with the diameter, lenght and shape of the aneurysm neck. Follow-up at 24 h and 1 week after UGCR revealed 1 thrombotic complication and 4 partial recurrences. Within 1 week there was a significant decrease in the size of the (then thrombosed) pseudoaneurysms.
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Moll R, Habscheid W, Landwehr P (1991) Häufigkeit des Aneurysma spurium der Arteria femoralis nach Herzkatheteruntersuchungen und PTA. ROFO 154: 23–27
Krespwik TF, Khoury MD, Miller BV, Winniford MD, Shammmma AR, Sharp WJ, Blecha MB, Corson JD (1991) A prospective study of the incidence and natural history of femoral vascular complications after percutaneous ransluminal coronary angioplasty. J Vasc Surg 13: 328–336
Mills JL, Wiedemann JE, Robinson JG, Hallet W (1986) Minimizing mortality and morbidity from iatrogenic arterial injuries: the need of early recognition and promt repair. J Vasc Surg 422–27
Fellmeth BD, Roberts AC, Bookstein JJ, Freischlag JA, Forsythe JR, Buckner NK, Hye RJ (1991) Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression. Radiology 178: 671–675
Kotval PS, Khoury A, Shah PM, Babu SC (1990) Doppler sonographic demonstrationof the progressive spontaneous thrombosis of pseudoaneurysms J Ultrasound Med 9: 185–190
Agrawal SK, Pinheiro L, Roubin GS, Hearn JA, Canton AD, Macander PJ, Barnes JL, Dean LS, Nanda NC (1992) Non-surgical closure of femoral psudoaneurysms complicating cardiac catheterization and percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 20: 610–615
Hust MH, Schuler A (1992) Fardoppler-gesteuerte Kompressionstherapie eines grossen Aneurysms spurium der Arteria femoralis nach Linksherzkatheterisierung. Dtsch Med Wochenschr 117: 1675–1678
Feld R, Patton GM, Carabasi RA, Alexander A, meerton D, Needleman L (1992) Treatment of iatrogenic femoral artery injuries with ultrasound-guided compression. J Vasc Surg 16: 832–840
DiPrete DA, Cronan JJ (1992) Compression ultrasonography treatment for acute femoral artery pseudoaneurysms in selected cases. J Ultrasound Med 1: 489–492
Fellmeth BD, Baron SB, Brown OR, Ang JPG, Clayson KR, Morrison SL, Low RI (1992) Repair of postcatheterization femoral pseudoaneurysms by color flow ultrasound guided compressiom. Am Heart J 123: 547–551
Fellmeth BD, Buckner NK, Ferreira JA, Rooker KT, Parsons PM, Brown PR (1992) Postcatheterization femoral artery injuries: repair with color flow US guidnace and C-clamp assistance. Radiology 182: 570–572
Trerotola SO, Savander SJ, Prescott CA, Ostermann FA (1993) US-guided pseudoaneurysm repair with a compression device. radiology 189: 285–286
Dol JA, Reekers JA, kromhout JG (1992) Rupture of pseudoaneurysm during attempted US-guided compression repair. Radiology 185: 284
Dorfman GS, Croman JJ (1991) Postchatheterization femoral artery injuries: is there a role for nonsurgical treatment? Radiology 178: 629–630
Resar JR, Tretola So, Ostermann FA, Aversano TR, Brinker JA (1992) Ultrasound-guided ablationof pseudoaneurysm following coronary artery stent placement: a preliminary report. Cathet Cardiovasc Diagn 26: 215–218
Dol JA, Reekers JA, Kromhout JG, Smits NJ (1993) US-guided compression repair of postcathterization femoral artery injuries. Eur Radiol 3 [Suppl]: 134
Shapiro M, Cohen HL, Crystal K, Katz, D (1992) Ultrasound-guided compression of femoral artery pseudoaneurysm. J Ultrasound Med 12: 182–183
Do DD, Zehnder T, Mahler F (1993) Farbkodierte Duplexsonographie bei iatrogenen Aneurysmata spuria in der Leiste. Dtsch Med Wochenschr 118: 656–660
Weskott Hp, andreesen H (1992) US-gesteuerte Kompressionstherapie bei artriellen Gefässverletzungen infolge invasiver kardiologischer Diagnostik. Ultraschall Klin Prax 7: 168
Kubale R, Roman S, Abd-Al-Maabud M, Hess D, Kramann B (1993) Pseudoaneurysmata der Arteria femoralis: nichtinvasive Diagnostik und Kompressionstheraphy. Bildgebung 60: 135–139
Theobald I, Roeren T, Scharf J, Kauffmann GW (1994) Farbdopplerkontrollierte Kompressionstherapie von Punktionsaneurysmen: ein nichtinvasives Therapiekonzept. Zentralbl Radiol 150: 217
Altin RS, Flicker S, naidech HJ (1989) Pseudoaneurysm and arteriovenous fistula after femoral artery catheterization: association with low femoral punctures. AJR 152: 629–631
Kent KC, McArdle CR, Kennedy B, Baim DS, anninos E, Skillman JJ (1993) A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 17: 125–33
Paulson KE, Hertzberg BS, Paine SS, Carroll BA (1992) Femoral artery psedoaneurysms: value of color Doppler sonography in predicting which ones will thrombose without treatment. AJR 159: 1077–1081
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Correspondence to: A. Tschammler
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Tschammler, A., Elsner, H., Jenett, M. et al. Compression repair of femoral post-catheterisation pseudoaneurysms guided by colour Doppler flow imaging. Eur. Radiol. 5, 285–290 (1995). https://doi.org/10.1007/BF00185313
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DOI: https://doi.org/10.1007/BF00185313