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Management of iatrogenic pseudoaneurysm - single-centre experience
Karolina Mazurkiewicz1, Łukasz Kruszyna2, Szymon Markiewicz2
1Department of Oncological Surgery for Gastrointestinal Diseases, Greater Poland Oncology Center, Poznan, Poland.
Polski Przeglad Chirurgiczny
|January 15, 2026
Summary
Iatrogenic pseudoaneurysms, complications from percutaneous interventions, show similar outcomes whether treated conservatively first or directly surgically. Individualized management is key for effective and safe treatment of these vascular lesions.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Radiology
Background:
- Iatrogenic pseudoaneurysms are increasing complications of percutaneous interventions.
- Conservative management is often attempted but may not always prevent surgical intervention.
Purpose of the Study:
- To evaluate diagnostic and therapeutic strategies for iatrogenic pseudoaneurysms.
- To assess treatment efficacy, safety, and clinical outcomes in a single-center experience.
Main Methods:
- Retrospective analysis of 57 patients undergoing surgery for iatrogenic pseudoaneurysms (2021-2023).
- Patients divided into groups with or without prior conservative treatment.
- Comparison of demographics, procedures, diagnostic tests, pseudoaneurysm features, and outcomes.
Main Results:
- No significant differences in outcomes between groups treated conservatively first versus direct surgery.
- Specific procedures were more frequently associated with either conservative treatment or direct surgery.
- Pseudoaneurysm characteristics and vascular access type did not significantly impact outcomes.
Conclusions:
- Individualized management of iatrogenic pseudoaneurysms is essential.
- Treatment decisions should consider patient history, prior interventions, and imaging.
- Balancing treatment efficacy and safety, guided by clinical status, is paramount.
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