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False Aneurysm in the Groin Following Coronary Angioplasty

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Abstract

A 70-year-old female with a history of hypertension developed chest pain and was admitted to a local hospital. Heparin was administered intravenously. Later that day, she underwent coronary angiography, which showed a critical stenosis of the left anterior descending artery. The lesion was treated with angioplasty and stent placement. The right femoral artery sheath was left in place overnight, and heparin was continued. The following morning after stopping heparin, the sheath was removed and a femostop device was placed over the groin for 4 h. Heparin was then restarted.

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References

  1. Skillman JJ, Kim D, Bairn DS. Vascular complications of percutaneous femoral cardiac interventions. Incidence and operative repair. Arch Surg 1988; 123: 1207–12.

    Article  PubMed  CAS  Google Scholar 

  2. Kent KC, McArdle CR, Kennedy B, Bairn DS, Anninos E, Skillman JJ. A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 1993; 17: 125–31.

    Article  PubMed  CAS  Google Scholar 

  3. Kresowik TF, Khoury MD, Miller BV, Winniford MD, Shamma AR, Sharp WJ, et al. A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty. J Vasc Surg 1991; 13: 328–33.

    Article  PubMed  CAS  Google Scholar 

  4. Toursarkissian B, Allen BT, Petrinec D, Thompson RW, Rubin BG, Reilly JM, et al. Spontaneous closure of selected iatrogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg 1997; 25: 803–8.

    Article  PubMed  CAS  Google Scholar 

  5. Fellmeth BD, Roberts AC, Bookstein JJ, Freischlag JA, Forsythe JR, Buckner NK, et al. Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression. Radiology 1991; 178: 671–5.

    PubMed  CAS  Google Scholar 

  6. Cox GS, Young JR, Gray BR, Grubb MW, Hertzer NR. Ultrasound-guided compression repair of postcatheterization pseudoaneurysms: results of treatment in one hundred cases. J Vasc Surg 1994; 19: 683–6.

    Article  PubMed  CAS  Google Scholar 

  7. Hajarizadeh H, LaRosa CR, Cardullo P, Rohrer MJ, Cutler BS. Ultrasound-guided compression of iatrogenic femoral pseudoaneurysm failure, recurrence, and long-term results. J Vasc Surg 1995; 22: 425–30.

    Article  PubMed  CAS  Google Scholar 

  8. Hertz SM, Brener BJ. Ultrasound-guided pseudoaneurysm compression: efficacy after coronary stenting and angioplasty. J Vasc Surg 1997; 26: 913–16.

    Article  PubMed  CAS  Google Scholar 

  9. Hood DB, Mattos MA, Douglas MG, Barkmeier LD, Hodgson KJ, Ramsey DE, et al. Determinants of success of color-flow duplex-guided compression repair of femoral pseudoaneurysms. Surgery 1996; 120: 585–8.

    Article  PubMed  CAS  Google Scholar 

  10. Hodgett DA, Kang SS, Baker WH. Ultrasound-guided compression repair of catheter-related femoral artery pseudoaneurysms is impaired by anticoagulation. Vasc Surg 1997; 31: 639–44.

    Article  Google Scholar 

  11. Jain SP, Roubin GS, Iyer SS, Saddekni S, Yadav JS. Closure of an iatrogenic femoral artery pseudoaneurysm by transcutaneous coil embolization. Catheter Cardiovasc Diagn 1996; 39: 317–19.

    Article  CAS  Google Scholar 

  12. Pan M, Medina A, Suarez DL, Romero M, Hernandez E, Segura J, et al. Obliteration of femoral pseudoaneurysm complicating coronary intervention by direct puncture and permanent or removable coil insertion. Am J Cardiol 1997; 80: 786–8.

    Article  PubMed  CAS  Google Scholar 

  13. Thalhammer C, Kirchherr AS, Uhlich F, Walgand J, Gross CM. Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents. Radiology 2000; 214: 127–31.

    PubMed  CAS  Google Scholar 

  14. Kang SS, Labropoulos N, Mansour MA, Baker WH. Percutaneous ultrasound guided thrombin injection: a new method for treating postcatheterization femoral pseudoaneurysms. J Vasc Surg 1998; 27: 1032–8.

    Article  PubMed  CAS  Google Scholar 

  15. Kang SS, Labropoulos N, Mansour MA, Michelini M, Filliung D, Baubly MP, et al. Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms. J Vasc Surg 2000; 31: 289–98.

    Article  PubMed  CAS  Google Scholar 

  16. Pope M, Johnston KW. Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: recommendations for prevention. J Vasc Surg 2000; 32: 190–1.

    Article  PubMed  CAS  Google Scholar 

  17. Sheldon PJ, Oglevie SB, Kaplan LA. Prolonged generalized urticarial reaction after percutaneous thrombin injection for treatment of a femoral artery pseudoaneurysm. J Vasc Intery Radiol 2000; 11: 759–61.

    Article  CAS  Google Scholar 

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© 2003 Springer-Verlag London

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Kang, S.S. (2003). False Aneurysm in the Groin Following Coronary Angioplasty. In: Geroulakos, G., van Urk, H., Hobson, R.W., Calligaro, K.D. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-3870-9_10

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  • DOI: https://doi.org/10.1007/978-1-4471-3870-9_10

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3872-3

  • Online ISBN: 978-1-4471-3870-9

  • eBook Packages: Springer Book Archive

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