Nov 12

Post intervention pseudoaneurysm can be treated conservatively

A pseudoaneurysm is a pulsatile hematoma that communicates with an artery through a disruption in the arterial wall. Femoral pseudoaneurysm is a common complication of invasive procedures. It occurs in 0.1% to 0.2% of diagnostic angiograms and 3.5% to 5.5% of interventional procedures. Longer procedures, large-bore catheters, anticoagulation, and a faulty lower site of puncture are associated with a higher incidence of femoral pseudoaneurysm.

The diagnosis is confirmed by imaging of the pseudoaneurysm. A femoral arterial duplex study is the diagnostic imaging modality of choice. Larger femoral pseudo aneurysms may lead to complications including rupture and compression of the adjacent femoral vein or of the femoral nerve. Treatment may be surgical.

However, recently it has been shown that direct, noninvasive compression of the pseudo aneurysm stops the blood flow in the communication and leads to pseudo aneurysm clotting and obliteration, reports Dr Vivek Kumar and Dr Preetam Patil, from Fortis Escorts Heart Institute and Research Center in the CSI Cardiology Update being released early next month in 63rd CSI meet.

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