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Predictors of successful iatrogenic pseudoaneurysm compression dressing repair
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Abstract
Background: Complications to femoral artery puncture may result in formation of a pseudoaneurysm (PSA). We investigated whether PSA obliteration may be achieved by compression dressing repair (CDR) and sought to determine the predictors of successful CDR.
Methods: Sixty two patients (30 male, mean age 61.0 ± 12.8) with femoral PSAs due to cardiac catheterization were included in the study. In all patients, duplex ultrasound followed by CDR was performed to evaluate PSA morphology and flow velocities in the PSA neck.
Results: Forty six (74.2%) patients did not respond to CDR. Predictors of successful CDR were forward [0.18 (0.07-0.47), p = 0.0004] and reverse [0.08 (0.02-0.33), p = 0.0006] flow velocities in the PSA neck. The forward velocity was identified as an independent predictor of CDR outcome (p = 0.02).
Conclusions: Compression dressing repair may serve as an alternative method of femoral pseudoaneurysm management in patients with low forward and reverse velocities of the flow in pseudoaneurysm neck. The forward velocity is an independent predictor of compression dressing repair result.
(Cardiol J 2010; 17, 2: 179-183)
Abstract
Background: Complications to femoral artery puncture may result in formation of a pseudoaneurysm (PSA). We investigated whether PSA obliteration may be achieved by compression dressing repair (CDR) and sought to determine the predictors of successful CDR.
Methods: Sixty two patients (30 male, mean age 61.0 ± 12.8) with femoral PSAs due to cardiac catheterization were included in the study. In all patients, duplex ultrasound followed by CDR was performed to evaluate PSA morphology and flow velocities in the PSA neck.
Results: Forty six (74.2%) patients did not respond to CDR. Predictors of successful CDR were forward [0.18 (0.07-0.47), p = 0.0004] and reverse [0.08 (0.02-0.33), p = 0.0006] flow velocities in the PSA neck. The forward velocity was identified as an independent predictor of CDR outcome (p = 0.02).
Conclusions: Compression dressing repair may serve as an alternative method of femoral pseudoaneurysm management in patients with low forward and reverse velocities of the flow in pseudoaneurysm neck. The forward velocity is an independent predictor of compression dressing repair result.
(Cardiol J 2010; 17, 2: 179-183)
Keywords
pseudoaneurysm; compression repair; predictors
About this articleTitle
Predictors of successful iatrogenic pseudoaneurysm compression dressing repair
Journal
Issue
Pages
179-183
Published online
2010-03-29
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Bibliographic record
Cardiol J 2010;17(2):179-183.
Keywords
pseudoaneurysm
compression repair
predictors
Authors
Agata Duszańska
Bogusława Dzióbek
Witold Streb
Ewa Markowicz-Pawlus
Tomasz Kukulski
Lech Poloński
Zbigniew Kalarus
