Treatment of postcatheterization femoral false aneurysms

Journal des maladies vasculaires
M RighiniJ P Laroche

Abstract

The incidence of iatrogenic femoral false aneurysms has risen dramatically in recent years and is estimated at 0,5% for diagnostic procedures and may rise to 9% or more for therapeutic procedures. This increased incidence is related to the increased number of arterial punctures performed for diagnostic or therapeutic purposes and their major complexity and duration. Risk factors for the development of iatrogenic false aneurysms include operator inexperience, age greater than 60, female gender, catheter size greater than 8F and concurrent anticoagulation. Prevention of false aneurysms is based upon an atraumatic arterial puncture, good compression therapy after sheath removal and use of percutaneous arterial closure devices. Contrarily to the arterial lesions following severe injuries, the natural course of false aneurysms is quite benign with spontaneous occlusion in the majority of cases. Therefore, a mandatory surgical approach is no longer advocated and alternative therapeutic options have been proposed. These include sonographic surveillance, compression ultrasonography, percutaneous thrombin or coil embolization. Surgery is still clearly indicated in presence of local nervous or venous compression, associated homolateral l...Continue Reading

Citations

Sep 28, 2016·Ultrasonography·Johannes RübenthalerDirk-André Clevert
Jun 20, 2015·Orthopedics·Jerome AmbrosiaCharles Giangarra
Oct 22, 2008·Cardiovascular and Interventional Radiology·Tommaso LupattelliJacques Clerissi

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