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Alternative treatment for postcatheterisation femoral false aneurysm

2011; Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV); Volume: 10; Issue: 2 Linguagem: Inglês

10.1590/s1677-54492011000200015

1677-7301

Marcelo Mendonca Pereira, Jorge Porto Marassi, Orlando Bonin Silva, Ligia Jacqueline Iorio Pires, Lys Nunes dos Santos, Hermogenes Petean Filho, Marcelo Andrei Sampaio Lacativa, Cristina Ribeiro Riguetti-Pinto,

Case Reports on Hematomas

The incidence of femoral postcatheteriation pseudoaneurysm ranges from 0.1 to 2.0% in diagnostic procedures to 5% in therapeutic procedures. There are several treatment options for pseudoaneurysms, from conservative management to conventional surgical intervention. For medium-sized pseudoaneurysms, ultrasound-guided compression repair or percutaneous injection of thrombin/coagulation factor XIII are the treatments of choice. In this paper, we describe two cases of post-therapeutic catheterization pseudoaneurysm, in which endovascular and conventional surgery were combined. The association of these two modalities of treatment decreased blood loss in comparison with conventional surgery alone, besides reducing surgical trauma and hospital stay.