Current treatment methods for postcatheterization pseudoaneurysms.
Pseudoaneurysms are a recognized complication of arterial catheterization. Until recently, the standard method of treatment has been surgical. The past decade has seen the introduction of several minimally invasive techniques that have largely replaced surgical treatment of pseudoaneurysms. The most commonly used methods are ultrasound-guided compression and percutaneous injection of thrombin into the pseudoaneurysm. This review article describes all the methods available for the treatment of postcatheterization pseudoaneurysms, presents results from the largest published series, and discusses the relative merits of each technique.
Morgan
Robert
R
Department of Vascular Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, United Kingdom. robert.morgan@stgeorges.nhs.uk
Belli
Anna-Maria
AM
D017541:Aneurysm, False / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005263:Femoral Artery / Q000473:pathology* / Q000601:surgery; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D013917:Thrombin / Q000627:therapeutic use; D014656:Vascular Surgical Procedures / Q000379:methods*
D015718:Fibrin Tissue Adhesive; D006490:Hemostatics; D013917:Thrombin