[Iatrogenic femoral pseudo-aneurysm. Analysis of the causes, diagnosis and treatment. Study of 12,248 arterial catheterizations].
Pseudoaneurysm is a classical but unusual complication of femoral catheterism. 22 cases are reviewed: 19 occurred after coronarography, 2 after peripheral percutaneous angioplasty and only one after a renal diagnostic arteriography. In all cases, the diagnosis of the pseudoaneurysm was established by I.V. D.S.A. 2 different medical teams are distinguished: the first using small catheters (4 and 5 F), the second using larger catheters (7 and 8 F) which are more aggressive. Two factors allow to avoid this complication: the diameter of the catheter and a correct compression dressing. The treatment of this complication, usually surgical, consisted in a simple manual percutaneous compression in 3 patients.
Wery
D
D
Service de Radiologie, Cliniques Universitaires de Bruxelles, Hôpital Erasme.
Delcour
C
C
Jacquemin
C
C
Richoz
B
B
Struyven
J
J
D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000792:Angiography / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005263:Femoral Artery; D006801:Humans; D007049:Iatrogenic Disease; D012189:Retrospective Studies
Pseudo-anévrysmes fémoraux iatrogènes. Analyse des causes, diagnostic et traitement. Etude portant sur 12,248 cathétérismes artériels.