Pseudo-aneurysms after iatrogenic affection of artery--experiences and recommendations for procedures to prevent their incidence and potential treatment.
In the present modern times we see that the population is gradually ageing and along with it also the incidence of civilisation diseases, including those of the cardiovascular system, is increasing. As the care of these patients develops, so does the number of surgeries of invasive cardiology. Even though the development in this area is still dynamic, the techniques are improving and new technologies are appearing. However, these invasive methods are still associated with certain risks for the patient. In terms of vascular surgery, the most frequent complications are iatrogenic pseudo-aneurysms and large haematomas. The objective of the present study was to evaluate the development in the incidence of pseudo-aneurysms (PSA) appearing after punctures of femoral artery due to coronarography or PTCA, to verify the hypothesis that the ratio of the number of PSA to the total number of invasive-cardiologic diagnostic and therapeutic surgeries is decreasing and to indicate possible solutions of complications associated with catheterisation. The study presents a retrospective account of the number of invasive surgeries conducted at the 1st Department of Medicin - Cardioangiology of the St. Anne's University Hospital Brno (UH) from 1996 to 2004. Summarised are numbers of PSA's conducted in this period by surgeons of the 2nd Department of Surgery of the St. Anne's University Hospital Brno (Tab. 1, Fig. 5, Ref. 17).
Konecny
Z
Z
2nd Department of Surgery, St. Anne's University Hospital, Brno, Czech Republic. Konecnyz@fnusa.cz
Kriz
Z
Z
Horky
M
M
Krejci
M
M
Orban
M
M
Rezek
M
M
D017541:Aneurysm, False / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects*; D005263:Femoral Artery / Q000293:injuries*; D006801:Humans; D011677:Punctures / Q000009:adverse effects