Surgical management of iatrogenic femoral artery pseudoaneurysms: A 10-year experience

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dc.authorid0000-0002-1276-8549
dc.authorid0000-0003-4118-040X
dc.authorscopusid25622097700
dc.authorscopusid6506413443
dc.authorscopusid8708323500
dc.authorscopusid10139012600
dc.authorscopusid14008084500
dc.authorscopusid7003875728
dc.authorscopusid7004591561
dc.authorwosidgur, ozcan/AAA-8847-2022
dc.authorwosidGurkan, Selami/AAA-9006-2022
dc.authorwosidSunar, Hasan/A-8685-2018
dc.contributor.authorHüseyin, Serhat
dc.contributor.authorYüksel, V
dc.contributor.authorSivri, N.
dc.contributor.authorGür, Özcan
dc.contributor.authorGürkan, Selami
dc.contributor.authorCanbaz, Suat
dc.contributor.authorSunar, H.
dc.date.accessioned2022-05-11T14:35:57Z
dc.date.available2022-05-11T14:35:57Z
dc.date.issued2013
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: Vascular complications of cardiac catheterization have increased in line with increasing number of percutaneous interventions. Open repair is the standard method of treatment for true and false aneurysms of femoral artery. We report results of patients operated due to femoral artery pseudoaneurysm after cardiac catheterization. Methods: Data from 12,261 patients who underwent percutaneous intervention for cardiac catheterization between January 2003 and January 2013 were evaluated. Diagnosis of pseudoaneurysm was established mainly by doppler ultrasonography in patients with complaints of pain and hematoma at the intervention site. Pseudoaneurysms less than 2 cm in diameter were treated non-operatively and were followed up by regular ultrasonographic examination at the outpatient clinic. Pseudoaneurysms with a diameter of 2 cm or more underwent primary repair. All patients were followed up for one year. Results: We detected 55 (0.44%) patients with femoral artery pseudoaneurysm and 42 of them were operated. The mean age was 60.7 +/- 6.3 years. Thirty nine (94.5%) patients underwent elective surgery, three (5.5%) patients were operated on under emergency conditions. Operation was performed under local anesthesia in 32 patients, under local anesthesia and sedation in eight patients, and under general anesthesia in three patients. Location of the pseudoaneurysm was the superficial femoral artery in 29 (69%), the common femoral artery in nine (21.4%), and the deep femoral artery in four (9.6%) patients. No limb loss occurred, no patient died and no recurrence was detected during the follow up. Conclusions: Performing vascular reconstruction before the rupture of pseudoaneurysm is important in terms of morbidity and mortality. We concluded that surgical repair in pseudoaneurysms larger than 20 mm is safe and essential.
dc.identifier.endpage336
dc.identifier.issn1108-4189
dc.identifier.issue4en_US
dc.identifier.pmid25031512
dc.identifier.scopus2-s2.0-84892418604
dc.identifier.scopusqualityQ4
dc.identifier.startpage332
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8311
dc.identifier.volume17
dc.identifier.wosWOS:000329738900009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürkan, Selami
dc.institutionauthorGür, Özcan
dc.institutionauthorAlpsoy, Şeref
dc.institutionauthorDonbaloğlu, Mehmet Okan
dc.institutionauthorGüler, N.
dc.language.isoen
dc.publisherLithographia
dc.relation.ispartofHippokratia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCardiac catheterization
dc.subjectiatrogenic
dc.subjectfemoral artery
dc.subjectpseudoaneurysm
dc.subjectCardiac-Catheterization
dc.subjectSpontaneous Thrombosis
dc.subjectComplications
dc.subjectDoppler
dc.subjectRepair
dc.titleSurgical management of iatrogenic femoral artery pseudoaneurysms: A 10-year experience
dc.typeArticle

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