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Combining Percutaneous Ultrasound-Guided Hematoma Aspiration and Compression Repair to Treat Femoral Artery Pseudoaneurysm after Cardiac Catheterization
- Source :
- International Heart Journal. 59:333-338
- Publication Year :
- 2018
- Publisher :
- International Heart Journal (Japanese Heart Journal), 2018.
-
Abstract
- This study aimed to prospectively evaluate the safety and efficacy of a new developed method that uses percutaneous ultrasound-guided hematoma aspiration followed by targeted localized manual compression for treatment of femoral artery pseudoaneurysm after cardiac catheterization, which obviates thrombin use, surgery, and long-time compression.From January 2007 to July 2014, 32 patients (17 women; mean age, 55.3 ± 11.5 years) out of 8,725 consecutive cases undergoing cardiac catheterization via femoral access developed one pseudoaneurysm each ranging in size from 21 × 11 mm to 72 × 39 mm. Under ultrasound guidance, blood within the pseudoaneurysm was aspirated percutaneously using an 18-gauge needle, while the pseudoaneurysm neck and a nearby site over the pseudoaneurysm were manually compressed for 15 min. All patients underwent repeat ultrasound examination 24 hours later.Of the 32 pseudoaneurysms, 31 were successfully occluded, and 1 recurred in a patient with coexisting arteriovenous fistula, yielding an overall success rate of 96.9% (31/32). No further recurrence or procedure related complications were observed. The treatment approach is unlike open surgical repair with hematoma evacuation and arterial defect suturing, in that it entails hematoma aspiration and feeding flow blockage at the pseudoaneurismal neck.In this preliminary experience, combining percutaneous ultrasound-guided hematoma aspiration and manual compression appears safe and effective in treating femoral artery pseudoaneurysms after catheterization and avoids thrombin use, long-time compression, and surgery.
- Subjects :
- Adult
Male
Cardiac Catheterization
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Arteriovenous fistula
Femoral artery
Suction
030204 cardiovascular system & hematology
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
Hematoma
medicine.artery
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Aged
Ultrasonography
Cardiac catheterization
Palpation
business.industry
Ultrasound
General Medicine
Middle Aged
medicine.disease
Surgery
Femoral Artery
cardiovascular system
Female
Cardiology and Cardiovascular Medicine
business
Complication
Aneurysm, False
Subjects
Details
- ISSN :
- 13493299 and 13492365
- Volume :
- 59
- Database :
- OpenAIRE
- Journal :
- International Heart Journal
- Accession number :
- edsair.doi.dedup.....aed92208cbe9a81365bbad9bd5982325