Related Experiment Video

Updated: Mar 24, 2026

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
06:11

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

2.9K

Management of Iatrogenic Pseudoaneurysms in Patients Undergoing Coronary Artery Bypass Grafting

Patrick A Stone1, Stephanie N Thompson2, Brent Hanson3

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA pstone0627@yahoo.com.

Vascular and Endovascular Surgery
|March 16, 2016
PubMed

Insights

Femoral pseudoaneurysms in patients undergoing coronary artery bypass grafting (CABG) can be safely managed with observation or thrombin injections, similar to patients not on intense anticoagulation. Routine surgical repair is often unnecessary.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Postcatheterization femoral pseudoaneurysms are common, but management strategies in patients undergoing coronary artery bypass grafting (CABG) require further investigation.
  • Patients undergoing CABG receive intense anticoagulation, potentially complicating pseudoaneurysm management.

Purpose of the Study:

  • To determine if femoral pseudoaneurysms in patients subsequently undergoing CABG can be managed using the same strategies as those not exposed to intense anticoagulation.
  • To evaluate the effectiveness and safety of different management approaches for these pseudoaneurysms.

Main Methods:

  • Retrospective review of 66 patients with femoral iatrogenic pseudoaneurysms (IPSAs) diagnosed post-heart catheterization and who subsequently underwent CABG.
  • Data collected included pseudoaneurysm characteristics, treatment methods (compression, thrombin injection, surgical repair, observation), and outcomes such as treatment failure and complications.

Main Results:

  • Among 66 patients, pseudoaneurysms were managed with compression (1%), thrombin injection (27%), surgical repair (26%), or observation (45%).
  • Thrombin injection and surgical repair demonstrated 100% effectiveness; one surgical patient experienced a site infection.
  • Observation alone led to resolution in 9 of 30 patients, but one required surgical repair for an enlarging pseudoaneurysm post-CABG.

Conclusions:

  • Femoral pseudoaneurysm management in patients awaiting CABG should align with strategies used for patients not on intense anticoagulation.
  • Observation is safe for small pseudoaneurysms, and duplex-guided thrombin injections are effective and safe.
  • Routine open surgical repair is not typically necessary for femoral pseudoaneurysms in the context of CABG.
Abstract

Keywords:
duplex-guided interventionsiatrogenicpseudoaneurysm

More Related Videos

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices07:21

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

1.1K
Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit07:04

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit

Published on: April 15, 2021

2.6K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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...
444
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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...
573
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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...
601
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
561
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
436
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
398