Iatrogenic femoral artery pseudoaneurysms — A review of current methods of diagnosis and treatment

Ahmad, Farhan; Turner, S.A.; Torrie, Peter; Gibson, Matthew

doi:10.1016/j.crad.2008.07.001

Cited by 148 publications

(161 citation statements)

References 40 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…[1] Unfortunately, efficacy of this technique is limited, with success rates between 62% -86%. [1,2] Compression times can also be lengthy. This occupies vascular ultrasound laboratory resources and can be uncomfortable for both the patient and clinician.…”

Section: Ultrasound-guided Compressionmentioning

confidence: 99%

“…'Patient' factors include obesity and the need for anticoagulation post-procedure. [2] Patients with femoral pseudoaneurysms typically present with pain and swelling of the affected groin, along with a palpable mass which may be pulsatile with a thrill or bruit. [1] Clinical diagnosis can usually be made in slim patients, but can be difficult in those who are obese, where a high index of suspicion is required to prompt further investigation.…”

Section: General Considerationsmentioning

confidence: 99%

“…It is also useful in cases where duplex ultrasound findings are equivocal or the anatomy is not well defined. [2] CTA allows accurate assessment of the pseudoaneurysm, its surrounding structures, arterial inflow and distal run-off to the leg. Drawbacks of CTA include radiation exposure (of particular concern in younger patients) and use of iodinated contrast agents (with risk of anaphylaxis and nephropathy).…”

Section: Diagnosismentioning

confidence: 99%

“…[7] However, the need for regular follow-up resulting in possible delayed discharge from the hospital, and difficulty in patients reducing their activity while awaiting pseudoaneurysm resolution, has led to the early active management of most pseudoaneurysms. [2] An exception may be for very small (<1cm), stable, asymptomatic pseudoaneurysms, which could be managed conservatively with repeat imaging at one week after diagnosis to see if spontaneous thrombosis has occurred. In addition, spontaneous thrombosis of the pseudoaneurysm may be less likely in patients who are fully anticoagulated or receiving combination antiplatelet therapy, where active management is preferred.…”

Section: Approach To Managementmentioning

confidence: 99%

“…It is reported that femoral pseudoaneurysms occur in up to 0.2% of diagnostic and 8% of interventional procedures. [2) Approach to the management of a pseudoaneurysm depends on its anatomical location. This chapter will focus primarily on the management of iatrogenic femoral pseudoaneurysms, with an overview of other peripheral and visceral iatrogenic pseudoaneurysms.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Iatrogenic Pseudoaneurysms

P.E.¹,

Lee²,

Ashok³

2012

Vascular Surgery - Principles and Practice

View full text Add to dashboard Cite

Section: Ultrasound-guided Compressionmentioning

confidence: 99%

Section: General Considerationsmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Approach To Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Iatrogenic Pseudoaneurysms

P.E.¹,

Lee²,

Ashok³

2012

Vascular Surgery - Principles and Practice

View full text Add to dashboard Cite

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

Dunbar

Hurst

2014

JAMA Dermatol

View full text Add to dashboard Cite

Most reported cases of pseudoaneurysm formation in the head and neck involve the superficial temporal artery and its branches, and they typically occur secondary to blunt force trauma. Our cases are unique in that they included 1 case of a superficial temporal lesion but also 2 cases outside this system: 1 of the lateral nasal artery and 1 of the angular artery. We propose operative repair as the treatment of choice for facial pseudoaneurysms that complicate dermatologic surgery.

show abstract

Thrombin‐Loaded Magnetic Microbubbles for the Treatment of Pseudoaneurysms

Thomas

Shieh

Baù

et al. 2022

Advanced Therapeutics

View full text Add to dashboard Cite

The drive toward minimally invasive surgery has yielded multiple benefits for patients but has also increased the incidence of pseudoaneurysms (PSA). The current standard of care is ultrasound‐guided thrombin injection to coagulate blood in the PSA sac and seal the ruptured vessel. There is, however, a risk of downstream thrombosis if thrombin escapes into the communicating vessel and this limits patient eligibility for thrombin injection. In this study, the feasibility of using magnetic targeting to reduce the risk of distal thrombosis is investigated. Thrombin‐loaded magnetic microbubbles are formulated and injected into tissue‐mimicking phantoms of PSAs with different geometries using either saline or whole (equine) blood. Ultrasound imaging is used to quantify the concentration of bubbles remaining in the sac with and without application of a custom‐built magnetic array. An absorbance‐based assay is also used to quantify the concentration of thrombin escaping from the sac. Magnetic targeting enables a significant increase in thrombin retention in all femoral artery PSA models except one, with up to 97% ± 2.5% of the injected thrombin being retained. It is also confirmed that the enzymatic activity of thrombin is maintained, and that clot formation can be successfully achieved in whole blood.

show abstract

Iatrogenic femoral artery pseudoaneurysms — A review of current methods of diagnosis and treatment

Cited by 148 publications

References 40 publications

Iatrogenic Pseudoaneurysms

Iatrogenic Pseudoaneurysms

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

Thrombin‐Loaded Magnetic Microbubbles for the Treatment of Pseudoaneurysms

Contact Info

Product

Resources

About