title: A review of alternative approaches in the management of iatrogenic femoral pseudoaneurysms.
abstract: 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.
authors.affiliation: Department of Vascular Radiology, St George's Hospital and Medical School, London, UK.
authors.forename: G J
authors.initials: GJ
authors.lastname: O'Sullivan
authors.forename: S A
authors.initials: SA
authors.lastname: Ray
authors.forename: J S
authors.initials: JS
authors.lastname: Lewis
authors.forename: A J
authors.initials: AJ
authors.lastname: Lopez
authors.forename: B W
authors.initials: BW
authors.lastname: Powell
authors.forename: A H
authors.initials: AH
authors.lastname: Moss
authors.forename: J A
authors.initials: JA
authors.lastname: Dormandy
authors.forename: A M
authors.initials: AM
authors.lastname: Belli
authors.forename: T M
authors.initials: TM
authors.lastname: Buckenham
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D005263:Femoral Artery / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D015642:Radiology, Interventional / Q000379:methods