Entstehung, Therapie und Prävention des Aneurysma spurium der Arteria femoralis nach diagnostischen und interventionellen Herzkatheteruntersuchungen
| Autor: | R. Marx, Ganschow Us, Frank-Chris Schoebel, B. E. Strauer, Köhler M, F. Gradaus, Matthias P. Heintzen, M. Hennersdorf, J. Rath, Malte Kelm |
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| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 122:771-777 |
| ISSN: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1047687 |
| Popis: | OBJECTIVE As pseudoaneurysm of the femoral artery after catheter introduction is a frequent complication, its causes and therapeutic options were investigated in a large patient collective. PATIENTS AND METHODS In a prospective study with colour-Doppler duplex sonography of 6928 patients after diagnostic and of 3764 after interventional cardiac catheterisation, pseudoaneurysms were diagnosed in 80 patients (0.75%), 46 after diagnostic (0.66%) and 34 after interventional (0.9%) catheterisation. RESULTS The incidence was higher in women than men (1.33% vs 0.58%; P < 0.05). Anticoagulation after sheath removal was the leading risk factor (n = 55, 68.8%), especially after interventional coronary intervention 85.3 vs 56.5%, P < 0.05). Local compression under duplex sonography monitoring was undertaken in 69 patients (86.3%), achieving aneurysmal obliteration in 53 (76.8%). Spontaneous thrombosis occurred in 15 of the remaining 27 patients, and surgical closure became necessary in 12. CONCLUSIONS These data indicate a risk profile for the occurrence of pseudoaneurysm after cardiac catheterisation which can be dealt with by preventive measures. Local compression under duplex sonographic monitoring was the treatment of choice with a high success rate and low incidence of complications. |
| Databáze: | OpenAIRE |
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