A Case of Femoral Artery Pseudoaneurysm , which was Developed after Interventional Cardiology Procedure , Treated with Color Doppler Ultrasound-Guided Direct Compression.
- Author:
Byung Hyun PARK
1
;
Chang Soo CHOI
;
Geun Young JANG
;
Nam Jin YOO
;
Suk Gyu OH
;
Jin Won JUNG
;
Yang Gyu PARK
;
Ok Gyu PARK
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Direct compression;
Color Doppler ultrasound
- MeSH:
Aged;
Aneurysm;
Aneurysm, False*;
Angioplasty;
Arteriovenous Fistula;
Cardiology*;
Catheters;
Femoral Artery*;
Hematoma;
Heparin;
Humans;
Infusions, Intravenous;
Male;
Mortality;
Myocardial Infarction;
Punctures;
Ultrasonography
- From:Journal of the Korean Society of Echocardiography
2000;8(1):103-106
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vascular complications such as hematoma, pseudoaneurysm and arteriovenous fistula that occur after intracoronary or intracardiac procedures are responsible for considerable morbidity and some mortality. Iatrogenic aneurysms are usually postcatheterization pseudoaneurysms of the femoral artery. Nowadays, it is not uncommon as a consequence of more complex interventional procedures, larger catheters and prolonged anticoagulation treatment. Surgical repair has been mainstay of treatment for pseudoaneurysm. However, recently has it been shown that color Doppler ultrasound-guided direct, noninvasive compression of the pseudoaneurysm stops the blood flow in the communication and lead to pseudoaneurysm clotting and obliteration. We report a case of pseudoaneurysm in femoral artery, which was developed at the right inguinal puncture site in 74 year old male patient with myocardial infarction who had received continuous intravenous infusion of heparin and had undergone primary percutaneous coronary angioplasty and temporary pacemaker insertion treated successfully with color Doppler ultrasound guided direct compression.
