Research Article
BibTex RIS Cite

Primary repair of femoral pseudoaneurysm secondary to interventional procedure

Year 2021, Volume: 14 Issue: 1, 93 - 97, 30.04.2021
https://doi.org/10.52976/vansaglik.847960

Abstract

Objective: This study aimed to report our clinical experience with the treatment of iatrogenic femoral pseudoaneurysms with the primary suture technique.
Materials-methods: Thirty patients treated with the diagnosis of femoral pseudoaneurysm in the femoral artery between September 2015 and August 2020 participated in the Non-iatrogenic pseudoaneurysms, iatrogenic aneurysms smaller than 4 cm, and thrombosed aneurysms were excluded. All pseudoaneurysms were diagnosed by ultrasonography and computed tomography.
Results: Peripheral arterial thrombosis developed in 1 (4%) patients. All femoral pseudoaneurysms were repaired with primary suture without clamping. No early postoperative deaths occurred.
Conclusion: Although cross-clamp surgical treatment modalities have been described as standard surgical treatment, surgical repair with primary suture technique without clamping is a good method for iatrogenic peripheral arterial pseudoaneurysms.

References

  • 1.Koza Y, Kaya U. Retrospective Analysis of 120 Cases of Iatrogenic and Traumatic Peripheral Arterial Pseudoaneurysms. Eurasian J Med 2020;52(2):180–4.
  • 2. Houlind K, Jepsen JM, Saicu C, Vammen S, Christensen JK, Ravn H. Current management of inguinal false aneurysms. J Cardiovasc Surg (Torino) 2017;58:278 –83.
  • 3. Steinhubl SR, Berger PB, Mann JT, Fry ETA, DeLago A, Wilmer C et al. Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention: a randomized controlled trial. JAMA 2002;288(19):2411–20.
  • 4.Middleton WD, Dasyam A, Teefey SA. Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms. Ultrasound Q 2005;21(1):3–17.
  • 5. Rashaideh MA, Janho KE, Shawaqfeh JS, Ajarmeh E, As’ad M. Ultrasound-guided thrombin injection versus ultrasound-guided compression therapy of iatrogenic femoral false aneurysms: Single center experience. Med J Armed Forces India 2020;76(3):293–7.

Girişimsel işlemlere bağlı gelişen femoral psödoanevrizmanın primer onarımı

Year 2021, Volume: 14 Issue: 1, 93 - 97, 30.04.2021
https://doi.org/10.52976/vansaglik.847960

Abstract

Amaç: Bu çalışmada iyatrojenik femoral psödoanevrizma tedavisinin kros-klemp konulmadan primer sutür tekniği ile onarımını, tecrübelerimizle paylaşmak istedik.
Materyal-metot: Eylül 2015 ile ağustos 2020 tarihleri arasında femoral psödoanevrizma tanısı konulmuş 30 hasta çalışmaya dahil edildi. İyatrojenik olmayan anevrizmalar ve 4 cm den küçük anevrizmalar ile tromboze anevrizmalar çalışma dışı bırakıldı. Femoral anevrizmalar lokal yada genel olarak anestezi ile opere edildi. Tüm psödoanevrizmalarda tanı ultrasonografi ve bilgisayarlı tomografi ile konulmuştu.
Bulgular: Periferik arteriyel emboli 1(%4) hastada meydana geldi. Tüm femoral psödoanevrizmaların kross-klemp konmadan primer sutür tekniği ile onarımı gerçekleştirildi. Erken post operatif dönemde ölüm olmadı.
Sonuç: Femoral psödoanevrizmaların standart cerrahi tedavisinde kros-klemp altında cerrahi tarif edilmesine rağmen kros konulmadan primer sutür tekniği ile cerrahi tedavisini iyi bir seçenek olarak değerlendiriyoruz.

References

  • 1.Koza Y, Kaya U. Retrospective Analysis of 120 Cases of Iatrogenic and Traumatic Peripheral Arterial Pseudoaneurysms. Eurasian J Med 2020;52(2):180–4.
  • 2. Houlind K, Jepsen JM, Saicu C, Vammen S, Christensen JK, Ravn H. Current management of inguinal false aneurysms. J Cardiovasc Surg (Torino) 2017;58:278 –83.
  • 3. Steinhubl SR, Berger PB, Mann JT, Fry ETA, DeLago A, Wilmer C et al. Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention: a randomized controlled trial. JAMA 2002;288(19):2411–20.
  • 4.Middleton WD, Dasyam A, Teefey SA. Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms. Ultrasound Q 2005;21(1):3–17.
  • 5. Rashaideh MA, Janho KE, Shawaqfeh JS, Ajarmeh E, As’ad M. Ultrasound-guided thrombin injection versus ultrasound-guided compression therapy of iatrogenic femoral false aneurysms: Single center experience. Med J Armed Forces India 2020;76(3):293–7.
There are 5 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research Articles
Authors

Ali Cemal Düzgün 0000-0003-0491-913X

Ekin İlkeli 0000-0003-0302-4721

Publication Date April 30, 2021
Submission Date December 27, 2020
Published in Issue Year 2021 Volume: 14 Issue: 1

Cite

APA Düzgün, A. C., & İlkeli, E. (2021). Primary repair of femoral pseudoaneurysm secondary to interventional procedure. Van Sağlık Bilimleri Dergisi, 14(1), 93-97. https://doi.org/10.52976/vansaglik.847960

ISSN 

images?q=tbn:ANd9GcQBnZPknmjKO2vn7ExYwjsL0g4cijty6VTFQQ&usqp=CAU CABI-Logo_Accessible_RGB.png  logo-e1506365530266.png ici2.png 

8c492a0a466f9b2cd59ec89595639a5c?AccessKeyId=245B99561176BAE11FEB&disposition=0&alloworigin=1asos-index.png  Root Indexing    ResearchBib BASE Logo      


Creative Commons Lisansı

Van Health Sciences Journal (Van Sağlık Bilimleri Dergisi) başlıklı eser bu Creative Commons Atıf-Gayri Ticari 4.0 Uluslararası Lisansı ile lisanslanmıştır.

  open-access-logo.png  search-result-logo-horizontal-TEST.jpg