May 1, 1977

The femoral artery-predilection site for iatrogenic vascular injuries. Causes and therapy

Acta chirurgica Belgica
K GriesenbeckH J Fernholz

Abstract

The study evaluates the number of cases, the causes and therapy of iatrogenic injuries to the femoral artery during and after the transfemoral angiographies, which were performed (1968-1975) in the Klinikum of RWTH Aachen. Total rate of complications was 0.15%. Operative indications were as follows: 1 degree hemorrhage in 4 patients, 2 degrees acute ischemic syndrome in 5 patients, 3 degrees a false aneurysm with intermittent claudication in 2 patients. The pathomorphological substrate of the lesions is reviewed and related to corresponding etiological factors. Therapeutic procedures are considered in relation to recent vascular surgical aspects. With the exception of a hemodynamically effective stenosis, reconstructive surgery involved no complication. Principles to be observed in preventing iatrogenic damage to the femoral artery while performing surgical diagnostics are discussed.

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Mentioned in this Paper

Rupture
Catheterization
Pseudoaneurysm
Blood Vessel
Aneurysm
Entire Femoral Artery
Intermittent Claudication
False Aneurysm of Artery
Stenosis (invertebrate)
Complication

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