Year : 2019, Volume : 28, Issue : 3

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Surgical treatment of iatrogenic pseudoaneurysms

Hakan Kara

DOI: 10.9739/tjvs.2019.512 · Page: 174-179 · 71 Views · 2 Downloads · 2 Citations

Abstract

Objectives: This study aims to present the results of surgical treatment of femoral and brachial artery pseudoaneurysms after cardiac catheterization.

Patients and methods: This retrospective study included a total of 28 patients (10 males, 18 females; mean age 76.5±11.5 years; range, 52 to 90 years) who were diagnosed with pseudoaneurysms between January 2012 and December 2018. Diagnosis of pseudoaneurysm was made based on physical examination and arterial Doppler ultrasonography findings in all patients. The patients with a pseudoaneurysm of ≥2 cm in diameter underwent surgery.

Results: Two patients developed a brachial pseudoaneurysm, while 26 patients developed a femoral pseudoaneurysm. The location of the femoral pseudoaneurysm was the superficial femoral artery in 19 (73.07%), common femoral artery in five (19.23%), and deep femoral artery in two (7.69%) patients. No complications were observed during follow-up.

Conclusion: Various treatment modalities can be used for iatrogenic pseudoaneurysms. Surgical treatment of iatrogenic pseudoaneurysms is a simple and successful method.

Keywords : Brachial artery; cardiac catheterization; femoral artery; open surgery; pseudoaneurysm

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