Compression ultrasonography for false femoral artery aneurysms: Hypocoagulability is a cause of failure

false femoral artery aneurysm is an occasional complication of percutaneous cardiovascular radiological procedures. Compression ultrasonography causes thrombosis non-invasively, reducing need for operative intervention. The technique fails in a proportion of cases. Analysis was undertaken to identif...

Full description

Saved in:
Bibliographic Details
Published in:European journal of vascular and endovascular surgery 1998-11, Vol.16 (5), p.427-428
Main Authors: Lewis, D.R., Davies, A.H., Irvine, C.D., Morgan, M.R., Baird, R.N., Lamont, P.M., Smith, F.C.T.
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnostic imaging
Aneurysm, False - therapy
Femoral Artery - diagnostic imaging
Humans
Retrospective Studies
Treatment Failure
Ultrasonography, Doppler, Duplex - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:false femoral artery aneurysm is an occasional complication of percutaneous cardiovascular radiological procedures. Compression ultrasonography causes thrombosis non-invasively, reducing need for operative intervention. The technique fails in a proportion of cases. Analysis was undertaken to identify causes of failure. prospective open study. patients presenting with false femoral artery aneurysm since 1984 were identified from a computerised database (BIPAS). Since 1993 compression ultrasonography has been performed as first line treatment according to a standard protocol. Prospectively collected ultrasonographic data and case notes were reviewed to identify causes of failed compression. false femoral artery aneurysm occurred as a complication in 32/26 687 (0.12%) cardiovascular radiological procedures. Eighteen aneurysms were treated by compression. The technique was successful in 11/18 (61%) cases but primary failure occurred in seven cases. Six out of seven had bleeding abnormalities (Chi-squared analysis with Yates correction 10.55, p=0.0012), four were anticoagulated and compression was subsequently successful following reversal of warfarin therapy in three of these patients. In 4/18 cases surgical repair was necessary. compression ultrasonography is an effective treatment of false femoral aneurysms, however, hypocoagulability is a significant cause of failure. For patients in whom anticoagulation cannot be reversed, primary surgical repair should be considered.
ISSN:1078-5884
1532-2165
DOI:10.1016/S1078-5884(98)80011-7