[Possibilities and limitations of color duplex guided compression therapy of puncture-induced blood vessel lesions in the groin].
OBJECTIVE
Colour Doppler imaging (CDI) is a useful tool for non-invasive diagnosis and treatment of postcatheterisation lesions of the femoral artery. The aim of the present study was to evaluate success and limitations of the method in unselected patients.


METHODS
A total of 29 patients, including 24 patients with pseudoaneurysms and 5 patients with arteriovenous fistulas, were treated by CDI-guided compression therapy.


RESULTS
17 of 24 (71%) pseudoaneurysms, but only 1 of 5 (20%) arteriovenous fistulas were successfully occluded. Successful treatment of pseudoaneurysms was limited by continuous anticoagulation and local pain during compression. However, arteriovenous fistulas, except one, could not be occluded due to high flow velocities in the shunt.


CONCLUSIONS
CDI-guided compression therapy is the treatment of choice for postcatheterisation pseudoaneurysms, while arteriovenous fistulas should be repaired surgically. If possible, anticoagulation therapy should be discontinued and analgesic drugs should be prescribed.
Krumme
B
B
Abteilung IV (Nephrologie), Medizinische Universitätsklinik Freiburg.
Lehnert
T
T
Wollschläger
H
H
Keller
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D000783:Aneurysm / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D000925:Anticoagulants / Q000627:therapeutic use; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects*; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries; D005268:Femoral Vein; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D011677:Punctures / Q000009:adverse effects; D013997:Time Factors; D018615:Ultrasonography, Doppler, Color
D000700:Analgesics; D000925:Anticoagulants
Möglichkeiten und Grenzen der farbduplex-gesteuerten Kompressionstherapie von punktionsbedingten Gefässläsionen in der Leiste.