[Manual obliteration of femoral artery pseudoaneurysm. Report of a case and brief review of the literature].
The authors report a case of non-surgical repair of a femoral artery pseudoaneurysm due to percutaneous catheterization. The procedure was performed by direct manual compression under intermittent color-flow duplex ultrasound control. Some conditions reported in the Literature as unfavorable for a prompt resolution were present (long time interval between invasive procedure and treatment, anticoagulant medication); nevertheless the manoeuvre was successful after only 20'. In comparison with previous experiences (reporting direct compression with the ultrasound transducer or with a mechanical vascular clamp device) the authors underline some observations: a) direct manual compression seems to guarantee a better stability in the optimal position allowing flow interruption in the lesion; b) ultrasound guide is necessary to prove the efficacy of compression, but a continuous monitoring doesn't seem necessary; c) in order to stop the procedure perhaps it is sufficient to interrupt completely the flow in the pseudoaneurysm cavity; a small flow, limited to the neck of the lesion, can be resolved if a pressure bandage is applied and the patient is maintained at bed rest for 12 hours. Manual, ultrasound guided obliteration may be considered a safe and efficacious method for non-surgical treatment of femoral artery pseudoaneurysms.
Rubino
A
A
Divisione di Cardiologia, Ospedale Casa del Sole, USL 60, Palermo.
Pieri
D
D
Grillo
R
R
Sperandeo
V
V
D000328:Adult; D000783:Aneurysm / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D011312:Pressure
Obliterazione manuale di uno pseudoaneurisma dell'arteria femorale. Presentazione di un caso con breve rassegna della letteratura.