Möglichkeiten und Grenzen der farbduplex-gesteuerten Kompressionstherapie von punktionsbedingten Gefäßläsionen in der Leiste
| Autor: | T. Lehnert, E. Keller, H. Wollschläger, B. Krumme |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Groin business.industry medicine.medical_treatment Femoral vein Arteriovenous fistula Femoral artery medicine.disease Balloon Surgery Pseudoaneurysm medicine.anatomical_structure Angioplasty medicine.artery cardiovascular system medicine Radiology Nuclear Medicine and imaging Radiology business Shunt (electrical) |
| Zdroj: | RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 163:158-162 |
| ISSN: | 1438-9010 1438-9029 |
| DOI: | 10.1055/s-2007-1015963 |
| Popis: | Aim Colour Doppler imaging (CDI) is a useful tool for non-invasive diagnosis and treatment of postcatheterisation lesions of the femoral artery. The aim of the present study was to evaluate success and limitations of the method in unselected patients. Material and methods A total of 29 patients, including 24 patients with pseudoaneurysms and 5 patients with arteriovenous fistulas, were treated by CDI-guided compression therapy. Results 17 of 24 (71%) pseudoaneurysms, but only 1 of 5 (20%) arteriovenous fistulas were successfully occluded. Successful treatment of pseudoaneurysms was limited by continuous anticoagulation and local pain during compression. However, arteriovenous fistulas, except one, could not be occluded due to high flow velocities in the shunt. Conclusion CDI-guided compression therapy is the treatment of choice for postcatheterisation pseudoaneurysms, while arteriovenous fistulas should be repaired surgically. If possible, anticoagulation therapy should be discontinued and analgesic drugs should be prescribed. |
| Databáze: | OpenAIRE |
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