Pseudoaneurysm of the femoral artery following cardiac intervention: identification and management.
Pseudoaneurysm of the femoral artery following cardiac intervention is a complication requiring intuitive assessment and prompt intervention. The risk of femoral arterial injury from a cardiac catheterization is estimated at 0.6% to 17%, and should always be suspected when hematoma exists. Several factors contribute to the development and severity of vascular pseudoaneurysms following a transarterial intervention. Atherosclerotic occlusive disease at the site of arterial catheterization is a leading cause of pseudoaneurysms. Passage of large sheaths, particularly 8FR or greater contribute to more prevalent vascular complications. The associated use of multiple anticoagulation drugs before and after the cardiac procedure may result in difficulty in maintaining hemostasis allowing for the development of pseudoaneurysm. Once femoral pseudoaneurysm is detected clinical management includes ultrasonic guided compression or surgical repair. Optimal patient care requires careful assessment of the hematoma following invasive cardiac procedures and timely treatment.
Karfonta
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T
Angioplasty Unit, St. Luke's Medical Center, Milwaukee, WI 53215.
Mielcarek
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F
D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000925:Anticoagulants / Q000009:adverse effects; D006328:Cardiac Catheterization / Q000009:adverse effects; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D014463:Ultrasonography
D000925:Anticoagulants