Kardiyak Kateterizasyon Sonrası Gelişen Yalancı Anevrizmalarda Cerrahi ve Klinik Sonuçlarımız

Objective: This retrospective study was established to determine the incidence of pseudoaneurysm subsequent to cardiac catheterization and to introduce our surgical experiences about this subject. Material and Methods: Between August 2005 and April 2008 cardiac catheterization was performed to 18509 patients for diagnosis and treatment in cardiology unit of our institute. Results: Pseudoaneurysm has occured in 19 (0.1%) patients. Including 5 patients referred to our hospital from other clinics, 24 patients with pseudoaneurysms were operated on. The mean age of these 18 (75%) male and 6 (25%) female patients was 63.3 ± 9 (ranging from 51 to 76). PTCA and stent application was performed to 5 (20.8%) patients and just coronary angiography was performed to 19 (79.2%) patients. The diagnosis was established by doppler analysis for all patients. The mean size of aneurysm was 6.9 ± 1.9 cm. The most common involvement was on superficial femoral artery. 23 patients with local anesthesia and 1 patient under general anesthesia were succesfully operated. There were no postoperative complications or problems in follow up. Conclusion: The femoral artery region is one of the most common sites that complications such as bleeding or pseudoaneurysm formation subsequent to diagnostic or therapeutical procedures are seen. Various treatment modalities can be used for pseudoaneurysms. Surgical treatment of pseudoaneurysms is still most appropriate. Pseudoaneurysm cases can be surgically treated succesfully with local anesthesia when surgical approach is indicated.