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Peripheral Artery Pseudoaneurysm: Treatment by Transcutaneous Compression Guided by Ultrasonography
Patrick B. Murphy1, Tanvir K. Bajwa, James Kubota
1Milwaukee Heart Institute, 960 North 12th Street, Milwaukee, WI 53233.
Echocardiography (Mount Kisco, N.Y.)
|September 1, 1996
Summary
Ultrasound-guided compression effectively treats pseudoaneurysms, a complication of arterial procedures. This safe and successful method resolves most lesions, preventing serious issues like limb ischemia.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Pseudoaneurysms are known complications of invasive arterial procedures.
- While often self-resolving, pseudoaneurysms can cause significant morbidity, including limb swelling, ischemia, thromboembolism, and nerve damage.
Purpose of the Study:
- To evaluate the efficacy and safety of ultrasound-guided transcutaneous compression for treating pseudoaneurysms following arterial catheterization.
Main Methods:
- Ultrasound guidance was used to direct pressure application in 13 patients with post-catheterization pseudoaneurysms.
- Treatment involved manual or device-assisted compression to close the arterial defect.
Main Results:
- Successful pseudoaneurysm closure was achieved in 11 out of 13 patients (85%).
- The average time for successful closure was 64 minutes (range: 20-180 minutes).
- No complications were reported during or after the compression procedure.
Conclusions:
- Ultrasound-guided transcutaneous compression is a safe and effective treatment for uncomplicated pseudoaneurysms.
- This method should be considered the primary treatment option for such vascular lesions.