Related Experiment Video
Updated: May 1, 2026
07:21
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
1.3K
Femoral pseudoaneurysms requiring surgical treatment
Hannu Savolainen1, Iris Baumgartner2, Juerg Schmidli2
1Academic Department of Surgery, Queen Elizabeth Hospital, Bridgetown, Barbados.
Trauma Monthly
|April 22, 2014
Summary
Surgical repair of femoral pseudoaneurysms (FPA) after endovascular procedures is often necessary due to technical puncture problems. Identifying these factors can help reduce the need for open surgery.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Interventions
Background:
- Femoral pseudoaneurysms (FPA) can necessitate surgical repair despite advances in closure devices and thrombin injection.
- Tertiary referral centers manage a high volume of angiographies and interventions annually.
Purpose of the Study:
- To identify local and clinical factors associated with the need for surgical repair of femoral pseudoaneurysms (FPA).
- To analyze the outcomes of surgical repair for FPAs in patients undergoing endovascular procedures.
Main Methods:
- Retrospective analysis of 122 FPAs treated among 21,060 patients over five years.
- Assessment of patient characteristics and therapeutic procedures through hospital records.
Main Results:
- Most FPAs (73%) were successfully treated with ultrasound-guided compression (USGC).
- Open surgical repair was required in 28% of cases, primarily due to hemodynamic instability or failed USGC.
- Technical issues like atypical access, multiple punctures, or vessel wall laceration were linked to 67% of surgical cases.
Conclusions:
- Technical difficulties during endovascular access are the primary drivers for open surgical repair of femoral pseudoaneurysms.
- Early identification and management of these technical challenges are crucial for improving patient outcomes.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
01:30Aneurysm I: Introduction
650
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
650
01:22Aneurysm IV: Nursing Management
621
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
621
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589