L'eco color Doppler nella diagnosi e nel trattamento degli pseudoaneurismi iatrogeni

Translated title of the contribution: Color Doppler US diagnosis and treatment of iatrogenic arterial pseudoaneurysms

Fabio Pinto, Riccardo Lencioni, Raffaello Stringari, Nicola Armillotta, Riccardo Sbrana, Raffaele Russo, Mariano Scaglione, Carlo Bartolozzi

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Pulsatile masses occur increasingly as a complication of transfemoral or transaxillary percutaneous catheterization, as the number of catheterization procedures and their complexity has increased. These iatrogenic injuries may be represented by a pseudoaneurysm or by a periarterial hematoma with transmitted arterial pulsations: the 2 vascular injuries require prompt differentiation because pseudoaneurysms need treatment by means of US-guided compression or surgical repair. Nineteen patients (10 men and 9 women, aged 40-85 years, mean: 62 years) with a groin (no. = 17) or axillary (no. = 2) pulsatile mass following angiographic catheterization were prospectively examined with color Doppler sonography (US). A pseudoaneurysm was detected in 13 patients (12 femoral and one axillary injury), whereas the other 6 pulsatile masses were consistent with periarterial hematomas. US-guided compression was attempted in 13 pseudoaneurysms and the pulsatile mass was repaired in 11/13 cases (84.6%), including 10/12 femoral and 1/1 axillary lesions. All the vascular injuries successfully treated with US-guided therapy were repaired 1-4 days after the angiographic complication. On the other hand, two pseudoaneurysms unsuccessfully treated with US-guided compression were studied after 8 and 24 days, respectively, after the angiographic complication and subsequently submitted to surgical repair. The pseudoaneurysm size did not seem to affect the favorable outcome of the US-guided treatment. With the exception of the 2 surgical cases, the other 17 patients underwent clinical examination and color Doppler US one and 7 days after the US-guided compression of the pulsatile mass. Moreover, a 6-25 weeks clinical follow-up showed no late complications or recurrences in all the cases. In conclusion, color Doppler US is now the technique of choice to assess potential complications related to femoral or brachial artery catheterization.

Translated title of the contributionColor Doppler US diagnosis and treatment of iatrogenic arterial pseudoaneurysms
Original languageItalian
Pages (from-to)198-201
Number of pages4
JournalRadiologia Medica
Volume94
Issue number3
StatePublished - Sep 1 1997

Keywords

  • Angiography, complications
  • Angiography, pseudoaneurysm
  • Pseudoaneurysm, color Doppler sonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Pinto, F., Lencioni, R., Stringari, R., Armillotta, N., Sbrana, R., Russo, R., Scaglione, M., & Bartolozzi, C. (1997). L'eco color Doppler nella diagnosi e nel trattamento degli pseudoaneurismi iatrogeni. Radiologia Medica, 94(3), 198-201.