Own experience in obliterative treatment of pseudo-aneurysms of the femoral arteries after endovascular procedures

Grzegorz Biolik; Krzysztof Ziaja; Tomasz Orawczyk; Zbigniew Markiel; Damian Ziaja

Vol 7, No 3 (2005)

Published online: 2005-11-07

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Own experience in obliterative treatment of pseudo-aneurysms of the femoral arteries after endovascular procedures

Grzegorz Biolik, Krzysztof Ziaja, Tomasz Orawczyk, Zbigniew Markiel, Damian Ziaja

Chirurgia Polska 2005;7(3):168-173.

Vol 7, No 3 (2005)

Published online: 2005-11-07

Abstract

Background: The frequency of complications after endovascular diagnostic and therapeutic procedures, including false aneurysm occurrence is continually increasing. It seems justifiable to develop an alternative, less invasive and cheaper method of treatment for these type of complications, especially in high risk patient groups. The aim of this study was an assessment of the efficacy of a low concentration of polidocanol in the treatment of false aneurysms localized in the peripheral arteries after endovascular procedures.
Material and methods: 7 women and 3 men, average age 54.3 years, with false aneurysm of the femoral arteries after endovascular procedures, were treated with 0.5% polidocanol followed by compression therapy.
Results: In 3 cases, full obliteration was observed, in the next 2 cases partial obliteration (not including the neck) was reported. In 1 case of obituary aneurysm, a partial obliteration of distal chamber was observed and in 4 cases, thrombosis was not achieved.
Conclusions: False aneurysm obliteration with the use of low concentration polidocanol reduces the number of patients requiring surgical treatment. However, due to its relatively low efficacy and the possibility of complication occurrence, it should not be considered the method of choice in the treatment of these kind of complications after endovascular procedures.