Related Experiment Video
Updated: May 9, 2026
07:21
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
Simplified method for compression of femoral false aneurysms
J G Coghlan1, R Cowell, N Jepson
1Department of Cardiology, Harefield Hospital, Middlesex, U.K.
European Heart Journal
|November 1, 1995
Summary
Doppler-guided clamp compression effectively treats false aneurysms after cardiac catheterization. This safe and cost-effective method achieved high thrombosis rates, reducing the need for surgery and shortening hospital stays.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Devices
Background:
- False aneurysms are a known complication of cardiac catheterization.
- Surgical repair was the traditional treatment for failed conservative management.
- Existing Doppler-guided compression methods are uncomfortable and time-consuming.
Purpose of the Study:
- To evaluate the safety and efficacy of Doppler-guided clamp compression for managing false aneurysms.
- To assess the impact of this technique on patient outcomes and hospital stay.
Main Methods:
- Ten consecutive patients with false aneurysms underwent Doppler-guided clamp compression for 60 minutes.
- Analgesia was administered liberally to ensure patient comfort.
- Outcomes including thrombosis, need for surgery, and length of stay were recorded.
Main Results:
- Complete aneurysm thrombosis was achieved in 80% (8/10) of patients.
- Only one patient (10%) required subsequent surgical repair.
- The procedure was well-tolerated, with most patients discharged within 24 hours.
Conclusions:
- Doppler-guided clamp compression is a safe, effective, and cost-effective treatment for cardiac catheterization-induced false aneurysms.
- This minimally invasive approach significantly reduces the need for surgical intervention.
- The technique offers a favorable patient experience and facilitates early discharge.
Related Concept Videos
01:30Aneurysm 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...
01:26Aneurysm 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...