Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2011 , Vol 20 , Issue 3
İyatrojenik Psödoanevrizmaların Tedavisinde Cerrahi ve USG Eşliğinde Kompresyon Yöntemleri
Gökhan ÖZERDEM, Levent MAVİOĞLU, H. Zafer İŞCAN, Bülent KAYA
1Kalp ve Damar Cerrahisi Kliniği, Ankara Özel Çağ Hastanesi, Ankara
2Kalp ve Damar Cerrahisi Kliniği, Kütahya Devlet Hastanesi, Kütahya
3Kalp ve Damar Cerrahisi Kliniği, Ankara Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Ankara
4Kalp ve Damar Cerrahisi AD, Ankara Üniversitesi Tıp Fakültesi, Ankara
Objective: In recent years, due to the increase in the number of invasive procedures made for the diagnosis and the treatment, postcatheterization pseudoaneurysms are the most common complications that occur following the cardiac and peripheral anjiographic procedures. In this study, it is aimed to determine the factors associated with the development of postcatheterization pseudoaneurysms and clinical experience with comparison between utrasound guided compression therapy and surgical repair for the treatment of pseudoaneurysm. Material and Methods: 28 patients who were diagnosed with pseudoaneurysm following doppler ultrasound were enrolled in the study. 20 (71.4%) of these patients were treated surgically and 8 (28.6%) of them were treated with utrasound guided compression therapy. Pain and enduration were the most common symptoms among 19 (67.9%) of those patients who were evaluated symptomatically. 21 (%75) of the patients developed pseudoaneurysm following coronary angiography and 7 (25%) following percutaneous transluminal coronary angioplasty. Results: There was no early mortality. 2 of patients who were treated surgically had wound infection. Apart from this, no additional complications have been occured. Those who were treated surgically were discharged for 1.79 ± 1.34 (1-7) days in average while those treated with the compression method were discharged for about 1 day in the hospital. The success rate of the ultrasound guided compression therapy was found to be 5/8 (62.5%). During the follow-up period (12 months) no recurrences and complications have been observed. Conclusion: Open surgery, ultrasound guided compression therapy or ultrasound guided trombin injection methods are the available therapy methods in the treatment of postcatheterization pseudoaneurysm. However, the lack of trombin preparation tools in Turkey makes this kind of treatment unavaliable. As a result, such as in all other diseases, the choice of treatment method for pseudoaneurysm should depend on the patient and the planning should be made in accordance with proper indications. Keywords : Aneurysm, false; ultrasonics; thrombin
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