Postcatheterization femoral artery pseudoaneurysms: Therapeutic options. A case-controlled study

Heis, Hussein A.; Bani-Hani, Kamal E.; El-Heis, Mwaffaq; Yaghan, Rami J.; Bani-Hani, Bayan K

doi:10.1016/j.ijsu.2008.03.006

Cited by 28 publications

(36 citation statements)

References 31 publications

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“…Le manque de consensus établi sur la chirurgie à ciel ouvert des traumatismes vasculaires pédiatriques, le défi que relève cette chirurgie (par la petitesse des vaisseaux et le spasme artériel quasi permanent) et l'absence de données sur les résultats au long cours ont poussé certaines équipes vers des alternatives de réparation vasculaire [2,5]. Actuellement, des techniques endovasculaires, de compression manuelle écho-guidée, ou d'embolisation par injection de thrombine sont proposées [15,16]. Les techniques endovasculaires visent à exclure le FA de la circulation.…”

Section: Discussionunclassified

Faux anévrysme post-traumatique des membres : à propos d’un cas pédiatrique

Taib

Rezziki

Boutaouer

et al. 2015

Archives de Pédiatrie

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Section: Discussionunclassified

Faux anévrysme post-traumatique des membres : à propos d’un cas pédiatrique

Taib

Rezziki

Boutaouer

et al. 2015

Archives de Pédiatrie

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“…Femoral pseudoaneurysms (PA) have a reported incidence of up to 8% and are most commonly related to therapeutic cardiac procedures 4,8 . In peripheral vascular interventions diagnostic arteriography is linked with an incidence of 0.1% to 0.2% and therapeutic procedures are linked with an incidence of 0.8% to 2.2% 4,6 .…”

Section: Discussionmentioning

confidence: 99%

“…They have an incidence of 0.05% to 2% in diagnostic procedures and 8% in therapeutic procedures [1][2][3] . The incidence of this complication is increasing because endovascular procedures are becoming more common 4 . A femoral pseudoaneurysm is a serious complication of puncture because it can lead to bleeding into deep tissues that is hard to control.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous treatment of femoral pseudoaneurysms: comparison of fibrin sealant against thrombin

Pinto

Bastianetto

2013

J. vasc. bras.

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Introduction: Femoral pseudoaneurysms are a complication that occurs in connection with up to 8% of percutaneous procedures. Of the available treatments, ultrasound guided thrombin injection has a high success rate and is welltolerated by patients. The combination of thrombin and fibrinogen known as fibrin sealant forms a stable clot and can be used to treat pseudoaneurysms, particularly those with complex anatomy and larger size. Objective: To compare the results of treating femoral pseudoaneurysm in two ways: Group T was treated with thrombin alone and Group T+F was treated with fibrin sealant (thrombin+fibrinogen). Methods: A retrospective analysis was conducted of femoral pseudoaneurysm cases treated between January 2005 and December 2012. Results: Twenty-eight patients were treated, 21 with thrombin alone and seven with fibrin sealant. All patients in group T were treated successfully, but only four patients in group T+F were treated successfully (57.1% success rate in Group T+F, p<0.01). The three cases of failure in group T+F needed surgery and in one of these cases the complication was embolization to the femoral bifurcation. The pseudoaneurysms that were treated with fibrin sealant were larger (25 cm 3 in Group T and 57.7 cm 3 in Group T+F, p=0.02) and required larger volumes of thrombin (0.5 mL in Group T and 1.0 mL in Group T+F, p<0.01). There was one complication in Group T and two complications in Group T+F (p<0.01). Conclusions: Irrespective of the small number of cases reviewed, treatment with thrombin alone was superior to treating with fibrin sealant, since it caused few complications and was more effective at correcting pseudoaneurysms.

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“…When it fails, injection of thrombin is recommended. [11] Intervention radiology has increasingly become popular. In fact, it is the only alternative used to surgery for pseudoaneurysms.…”

Section: Discussionmentioning

confidence: 99%

Treatment of an infected giant brachial artery pseudoaneurysm: a case report

Ezer¹

2012

Turk Gogus Kalp Dama

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Periferik arter anevrizmaları, üst ekstremitelerde alt ekstremitelerden çok daha az görülür. Hemodiyaliz için yapı-lan venöz kateterizasyon esnasında istenmeden meydana gelen brakiyal arter delinmesine sekonder dev brakiyal arter psödoanevrizma oluşumu nadirdir. Bu psödoanev-rizmalar; yaşamı tehdit eden kanama, ekstremite fonksiyonlarında ciddi azalma, kol ya da parmakların kaybı ve hatta ölüm gibi ciddi komplikasyonlara neden olabilir. Bu yazıda, hemodiyaliz için yapılan kateterizasyon esnasında brakiyal arter delinmesine sekonder ortaya çıkan enfekte brakiyal arter psödoanevrizmasının, anevrizmektomi ve safen ven grefti interpozisyonu ile başarılı bir şekilde tedavisi sunulmuştur.Anah tar söz cük ler: Brakiyal arter; enfekte psödoanevrizma; safen greft; üst ekstremite.Peripheral artery aneurysms are much less frequent in the upper extremities than in the lower extremities. Giant brachial artery pseudoaneurysms secondary to inadvertent puncture of the brachial artery during venous cannulation for hemodialysis are rare. These pseudoaneurysms may result in serious complications such as life-threatening hemorrhage and severe decreases in extremity function and also lead to loss of arms or fingers and even death. In this article, we present a case of infected giant brachial artery pseudoaneurysm secondary to brachial artery puncture for hemodialysis and successfully treated with aneurysmectomy and a short saphenous vein interposition graft.

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Postcatheterization femoral artery pseudoaneurysms: Therapeutic options. A case-controlled study

Cited by 28 publications

References 31 publications

Faux anévrysme post-traumatique des membres : à propos d’un cas pédiatrique

Faux anévrysme post-traumatique des membres : à propos d’un cas pédiatrique

Percutaneous treatment of femoral pseudoaneurysms: comparison of fibrin sealant against thrombin

Treatment of an infected giant brachial artery pseudoaneurysm: a case report

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