[Iatrogenic femoral pseudo-aneurysm. Analysis of the causes, diagnosis and treatment. Study of 12,248 arterial catheterizations]

J Radiol. 1989 Nov;70(11):609-11.
[Article in French]

Abstract

Pseudoaneurysm is a classical but unusual complication of femoral catheterism. 22 cases are reviewed: 19 occurred after coronarography, 2 after peripheral percutaneous angioplasty and only one after a renal diagnostic arteriography. In all cases, the diagnosis of the pseudoaneurysm was established by I.V. D.S.A. 2 different medical teams are distinguished: the first using small catheters (4 and 5 F), the second using larger catheters (7 and 8 F) which are more aggressive. Two factors allow to avoid this complication: the diameter of the catheter and a correct compression dressing. The treatment of this complication, usually surgical, consisted in a simple manual percutaneous compression in 3 patients.

Publication types

  • English Abstract

MeSH terms

  • Aneurysm / diagnosis
  • Aneurysm / etiology*
  • Aneurysm / therapy
  • Angiography / adverse effects
  • Catheterization, Peripheral / adverse effects*
  • Coronary Angiography
  • Diagnosis, Differential
  • Femoral Artery*
  • Humans
  • Iatrogenic Disease
  • Retrospective Studies