A review of alternative approaches in the management of iatrogenic femoral pseudoaneurysms

G. J. O'Sullivan, S. A. Ray, J. S. Lewis, A. J. Lopez, B. W. Powell, A. H. Moss, J. A. Dormandy, A. M. Belli, T. M. Buckenham

Research output: Contribution to a Journal (Peer & Non Peer)Review articlepeer-review

58 Citations (Scopus)

Abstract

The management of iatrogenic pseudoaneurysms (IPAs) demands close co-operation between radiologist, vascular surgeon and plastic surgeon. Ideally, each patient should be reviewed employing a team approach. Many IPAs require only observation; those with a volume greater than 6 cm3 will require treatment as spontaneous thrombosis is uncommon. Radiological treatment options include ultrasound guided compression repair (UGCR), embolisation, and covered stenting. Occasionally, these are unsuccessful or contra-indicated, and the vascular surgical approach is discussed in detail. Finally, the role of the plastic surgeon in dealing with skin ischaemia is detailed.

Original languageEnglish
Pages (from-to)226-234
Number of pages9
JournalAnnals of the Royal College of Surgeons of England
Volume81
Issue number4
Publication statusPublished - Jul 1999
Externally publishedYes

Keywords

  • Catheterisation, complications
  • Embolisation
  • Femoral
  • Pseudoaneurysms
  • Stents
  • Ultrasound

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