[Pseudoaneurysms after femoral arteries cannulations in hemodialysed patients--preliminary data].
Patients undergoing chronic haemodialysis (HD) therapy have higher risk of arterial injury during cannulation for diagnostic and therapeutic procedures. Aim of our study was to evaluate frequency of femoral pseudoaneurysms (FPA) occurring after femoral artery (FA) cannulation (FAC) as well as presentation of ultrasound guided compression (USGC) of FPA.


METHODS
From the group of 340 HD patients in our Centre in years 1996-2003 37 consecutive HD patients (23M, 14F, aged 55, 5 +/- 8, 2years, on HD 24, 2 +/- 22,6 months) after FAC, indicated from cardiological point of view, underwent regular femoral colour duplex USG.


RESULTS
In 21 pts we found no local complications. In 16 of 37 pts 7 hematomas (HM) and 9 femoral pseudoaneurysms (FPA) were found. All HM were treated conservatively. From 9 FPA cases, 2 thrombosed spontaneously and the remaining 7 pts were treated firstly with USG guided controlled compression (UGCC). UGCC resulted in successful thrombosis of FPA in 3 pts with mean volume of FPA 40 +/- 12 ml but failed in 4 other pts with mean volume of FPA 39 +/- 17 ml.


CONCLUSIONS
Our preliminary results show, for the first time in the literature, that occurrence of FA damage might occur rather often in HD pts qualified for this procedure from cardiological point of view. Pseudoaneurysms of FA, being in our material the most frequent pathology, should be promptly diagnosed with colour duplex USG and subsequently treated non surgically with USG guided controlled compression.
Wierzbicki
Przemysław
P
Wojskowy Instytut Medyczny, Klinika Nefrologii ze Stacja Dializ CSK MON w Warszawie.
Prokopiuk-Wierzbicka
Monika
M
Kade
Grzegorz
G
Dziekiewicz
Mirosław
M
Wańkowicz
Zofia
Z
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*; D018615:Ultrasonography, Doppler, Color