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Do not underestimate the femoral pseudoaneurysm
Maria Stolt1, Ruediger Braun-Dullaeus1, Joerg Herold1
11 Department of Angiology and Cardiology, Otto-von-Guericke University of Magdeburg, Germany.
VASA. Zeitschrift Fur Gefasskrankheiten
|February 15, 2018
Summary
Iatrogenic pseudoaneurysms, a complication of vascular access, can be effectively treated with minimally invasive ultrasound-guided compression therapy (UGCT) or ultrasound-guided thrombin injection (UGTI). These methods offer alternatives to surgery for managing femoral pseudoaneurysms.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Diagnostics
Background:
- Iatrogenic pseudoaneurysms are common complications following vascular access procedures.
- These pseudoaneurysms arise from arterial wall perforations and can lead to serious complications like rupture and bleeding.
- Treatment has evolved from surgical repair to less invasive techniques.
Purpose of the Study:
- To provide an overview of diagnostic and treatment modalities for femoral pseudoaneurysms.
- To summarize previous studies on the efficacy and safety of ultrasound-guided compression therapy (UGCT) and ultrasound-guided thrombin injection (UGTI).
Main Methods:
- Review of diagnostic techniques for femoral pseudoaneurysms.
- Comprehensive analysis of existing literature on UGCT and UGTI for pseudoaneurysm treatment.
- Evaluation of success and complication rates associated with UGCT and UGTI.
Main Results:
- Iatrogenic pseudoaneurysms require prompt diagnosis and management.
- Ultrasound-guided therapies, including UGCT and UGTI, have emerged as effective treatment options.
- Previous studies indicate varying success and complication rates for UGCT and UGTI.
Conclusions:
- Femoral pseudoaneurysms necessitate careful diagnostic evaluation.
- Minimally invasive ultrasound-guided interventions are viable alternatives to surgical repair.
- Further analysis of UGCT and UGTI success and complication rates is crucial for optimizing patient care.

