A review of alternative approaches in the management of iatrogenic femoral pseudoaneurysms.
The management of iatrogenic pseudoaneurysms (IPAs) demands close co-operation between radiologist, vascular surgeon and plastic surgeon. Ideally, each patient should be reviewed employing a team approach. Many IPAs require only observation; those with a volume greater than 6 cm3 will require treatment as spontaneous thrombosis is uncommon. Radiological treatment options include ultrasound guided compression repair (UGCR), embolisation, and covered stenting. Occasionally, these are unsuccessful or contra-indicated, and the vascular surgical approach is discussed in detail. Finally, the role of the plastic surgeon in dealing with skin ischaemia is detailed.
O'Sullivan
G J
GJ
Department of Vascular Radiology, St George's Hospital and Medical School, London, UK.
Ray
S A
SA
Lewis
J S
JS
Lopez
A J
AJ
Powell
B W
BW
Moss
A H
AH
Dormandy
J A
JA
Belli
A M
AM
Buckenham
T M
TM
D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D005263:Femoral Artery / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D015642:Radiology, Interventional / Q000379:methods