Compression assisted by removable coils as a new treatment for iatrogenic femoral pseudoaneurysms.
To avoid undesirable effects that sometimes result from current treatments for postpuncture femoral pseudoaneurysms, we developed a new technique involving compression assisted by removable coils. Using ultrasound-guided percutaneous puncture, an Inconel coil with synthetic microfibers is inserted in the pseudoaneurysm, leaving a part of the coil above the skin. Short-duration, ultrasound-guided compression is applied, taking advantage of the coil's thrombogenicity. Following occlusion, the coil is removed, leaving no residual foreign material. The technique was effective in the first patient treated and may minimize or obviate the adverse effects associated with current approaches.
Bellmunt
Sergi
S
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. sbellmunt@santpau.cat
Dilmé
Jaume
J
Barros
Antonio
A
Escudero
José Román
JR
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D020878:Device Removal; D004867:Equipment Design; D005263:Femoral Artery; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D008297:Male; D011312:Pressure; D011677:Punctures / Q000009:adverse effects; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional