Surgical treatment of iatrogenic pseudoaneurysms

Abstract

Objectives: This study aims to present the results of surgical treatment of femoral and brachial artery pseudoaneurysms after cardiac catheterization. Patients and methods: This retrospective study included a total of 28 patients (10 males, 18 females; mean age 76.5±11.5 years; range, 52 to 90 years) who were diagnosed with pseudoaneurysms between January 2012 and December 2018. Diagnosis of pseudoaneurysm was made based on physical examination and arterial Doppler ultrasonography findings in all patients. The patients with a pseudoaneurysm of ≥2 cm in diameter underwent surgery. Results: Two patients developed a brachial pseudoaneurysm, while 26 patients developed a femoral pseudoaneurysm. The location of the femoral pseudoaneurysm was the superficial femoral artery in 19 (73.07%), common femoral artery in five (19.23%), and deep femoral artery in two (7.69%) patients. No complications were observed during follow-up. Conclusion: Various treatment modalities can be used for iatrogenic pseudoaneurysms. Surgical treatment of iatrogenic pseudoaneurysms is a simple and successful method.

Synthetic Haemostatic Sealants: Effectiveness, Safety, and In Vivo Applications

“…After anaesthesia, an incision was made distal to the right forearm along the anatomical course of the artery [ 39 , 40 ]. Next, the radial artery upstream and downstream of the pseudoaneurysm was isolated, and the pseudoaneurysm was isolated from the surrounding tissues ( Figure 7 a) and incised to evacuate it ( Figure 7 b).…”

“…The procedure for the exclusion and emptying of the pseudoaneurysm took place in the operating theatre after ultrasound identification of the radial artery and the periarterial blood collection site (Figure 6). After anaesthesia, an incision was made distal to the right forearm along the anatomical course of the artery [39,40]. Next, the radial artery upstream and downstream of the pseudoaneurysm was isolated, and the pseudoaneurysm was isolated from the surrounding tissues (Figure 7a) and incised to evacuate it (Figure 7b).…”