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KMID : 0374019950180030263
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Ewha Medical Journal
1995 Volume.18 No. 3 p.263 ~ p.268
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Nonsurgical Treatment of Femoral Pseudoaneurysm Complicating Catheterization Throulgh Femoral Artery
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Abstract
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Femoral pseudoaneurysm is important complication after diagnostic femoral catheterization or more complex procedure.
With the increasing use of larger-size percutaneous instruments and periprocedual anticoagulant or antiplatelet agent, the incidence of postcatheterization femoral artery injuries including pseudoaneurysm has increased in the past few years.
Duplex ultrasonography and addition of color-flow Doppler provides an accurate, noninvasive, risk-free diagnosis and faster detection of intraaneurysmal blood flow and the track between the injury artery and the pseudoaneurysm.
Though early surgical repair of the arterial defect is usually recommended because of severe and life-threatening complication such as rupture, thromboembolism, compression neuropathy etc, Ultrasono-Guided Compression Repair(UGCR) is to be
first-line
treatment for its advantage such as high success rate, low morbidity and cost-effectiveness.
The authors report 2 cases of femoral pseudoaneurysms treated using UGCR with manual compression with C-clamp at the same time as a nonsurgical treatment.
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KEYWORD
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