title: The femoral artery-predilection site for iatrogenic vascular injuries. Causes and therapy.
abstract: The study evaluates the number of cases, the causes and therapy of iatrogenic injuries to the femoral artery during and after the transfemoral angiographies, which were performed (1968-1975) in the Klinikum of RWTH Aachen. Total rate of complications was 0.15%. Operative indications were as follows: 1 degree hemorrhage in 4 patients, 2 degrees acute ischemic syndrome in 5 patients, 3 degrees a false aneurysm with intermittent claudication in 2 patients. The pathomorphological substrate of the lesions is reviewed and related to corresponding etiological factors. Therapeutic procedures are considered in relation to recent vascular surgical aspects. With the exception of a hemodynamically effective stenosis, reconstructive surgery involved no complication. Principles to be observed in preventing iatrogenic damage to the femoral artery while performing surgical diagnostics are discussed.
mesh_terms: D000783:Aneurysm / Q000209:etiology / Q000601:surgery; D000792:Angiography / Q000009:adverse effects*; D002404:Catheterization / Q000009:adverse effects; D002675:Child, Preschool; D005263:Femoral Artery / Q000293:injuries*; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D012421:Rupture; D013927:Thrombosis / Q000209:etiology / Q000601:surgery