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Entstehung, Therapie und Prävention des Aneurysma spurium der Arteria femoralis nach diagnostischen und interventionellen Herzkatheteruntersuchungen

2008; Thieme Medical Publishers (Germany); Volume: 122; Issue: 24 Linguagem: Inglês

10.1055/s-2008-1047687

1439-4413

Julius Rath, Robert G. Marx, U. Ganschow, F. Gradaus, F. C. Schoebel, Malte Kelm, Marcus Hennersdorf, Michael Köhler, M. P. Heintzen, Bodo E. Strauer,

Cardiac Imaging and Diagnostics

As pseudoaneurysm of the femoral artery after catheter introduction is a frequent complication, its causes and therapeutic options were investigated in a large patient collective.In a prospective study with colour-Doppler duplex sonography of 6928 patients after diagnostic and of 3764 after interventional cardiac catheterisation, pseudoaneurysms were diagnosed in 80 patients (0.75%), 46 after diagnostic (0.66%) and 34 after interventional (0.9%) catheterisation.The incidence was higher in women than men (1.33% vs 0.58%; P < 0.05). Anticoagulation after sheath removal was the leading risk factor (n = 55, 68.8%), especially after interventional coronary intervention 85.3 vs 56.5%, P < 0.05). Local compression under duplex sonography monitoring was undertaken in 69 patients (86.3%), achieving aneurysmal obliteration in 53 (76.8%). Spontaneous thrombosis occurred in 15 of the remaining 27 patients, and surgical closure became necessary in 12.These data indicate a risk profile for the occurrence of pseudoaneurysm after cardiac catheterisation which can be dealt with by preventive measures. Local compression under duplex sonographic monitoring was the treatment of choice with a high success rate and low incidence of complications.