[The color Doppler-guided compression therapy of a large false aneurysm of the femoral artery following left heart catheterization].
A ventrally located false aneurysm (7 x 5.2 x 3.4 cm) of the right common femoral artery occurred, after left-heart catheterization by the Judkins technique via this artery, in an 83-year-old woman with aortic valve stenosis. Colour Doppler sonography demonstrated a puncture canal (neck of the aneurysm) filling in both systole and diastole, as well as turbulent flow within the aneurysm. Flow into the aneurysm was considerably reduced when the transducer head compressed the aneurysm, while flow continued in the femoral artery and vein. This compression, maintained for 25 min, completely thrombosed the puncture canal and aneurysm so that no vascular surgery was required.
Hust
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Medizinische Klinik, Kreiskrankenhaus Reutlingen.
Schuler
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A
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D003116:Color; D003250:Constriction; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging*; D006801:Humans; D008874:Midazolam / Q000008:administration & dosage; D013997:Time Factors; D014463:Ultrasonography
D008874:Midazolam
Farbdoppler-gesteuerte Kompressionstherapie eines grossen Aneurysma spurium der Arteria femoralis nach Linksherzkatheterisierung.