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Non Surgical Management of Pseudoaneurysms
J D'Souza1, V S Bedi2, I K Indrajit3
1Senior Advisor (Radiodiagnosis and Imaging), Army Hospital (R&R), Delhi Cantt.
Medical Journal, Armed Forces India
|July 14, 2016
Summary
Non-surgical treatments effectively managed pseudoaneurysms, including those from vascular procedures and trauma. Follow-up confirmed successful regression in all cases using techniques like ultrasound-guided compression and embolization.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Pseudoaneurysm incidence is rising due to increased vascular procedures and anticoagulation use.
- Non-invasive management options include ultrasound-guided compression, thrombin therapy, embolization, and stent grafts.
Purpose of the Study:
- To report on the experience of managing fourteen pseudoaneurysm cases using non-surgical techniques.
Main Methods:
- Fourteen patients with pseudoaneurysms were treated over two years.
- Diagnostic tools included color Doppler, CT angiography, and conventional angiography.
- Treatments comprised ultrasound-guided compression (USGC), stent graft insertion, and coil embolization.
Main Results:
- Eleven pseudoaneurysms were iatrogenic, three were traumatic.
- Common sites included femoral artery (post-angiography) and renal artery (post-PCNL).
- USGC succeeded in four of seven cases; stent grafts and coil embolization were used for others.
Conclusions:
- All fourteen pseudoaneurysms showed successful regression.
- Color Doppler and CT angiography confirmed successful outcomes at one week, six months, and twelve months.
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