Predictors of successful iatrogenic pseudoaneurysm compression dressing repair.
BACKGROUND
Complications to femoral artery puncture may result in formation of a pseudoaneurysm (PSA). We investigated whether PSA obliteration may be achieved by compression dressing repair (CDR) and sought to determine the predictors of successful CDR.


METHODS
Sixty two patients (30 male, mean age 61.0 +/- 12.8) with femoral PSAs due to cardiac catheterization were included in the study. In all patients, duplex ultrasound followed by CDR was performed to evaluate PSA morphology and flow velocities in the PSA neck.


RESULTS
Forty six (74.2%) patients did not respond to CDR. Predictors of successful CDR were forward [0.18 (0.07-0.47), p = 0.0004] and reverse [0.08 (0.02-0.33), p = 0.0006] flow velocities in the PSA neck. The forward velocity was identified as an independent predictor of CDR outcome (p = 0.02).


CONCLUSIONS
Compression dressing repair may serve as an alternative method of femoral pseudoaneurysm management in patients with low forward and reverse velocities of the flow in pseudoaneurysm neck. The forward velocity is an independent predictor of compression dressing repair result.
Duszańska
Agata
A
1st Department of Cardiology, Medical University of Silesia in Katowice, Silesian Centre for Heart Disease, Zabrze, Poland. agataduszanska@op.pl
Dzióbek
Bogusława
B
Streb
Witold
W
Markowicz-Pawlus
Ewa
E
Kukulski
Tomasz
T
Poloński
Lech
L
Kalarus
Zbigniew
Z
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001458:Bandages; D001783:Blood Flow Velocity; D006328:Cardiac Catheterization / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007049:Iatrogenic Disease; D017078:Laser-Doppler Flowmetry; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011044:Poland; D011237:Predictive Value of Tests; D011312:Pressure; D011677:Punctures; D012039:Regional Blood Flow; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex