Abstract
Ultrasound-guided compression repair (UGCR) of catheterization-related femoral artery injuries was evaluated as a possible new imaging-guided interventional procedure. Thirty-nine femoral artery injuries (35 pseudoaneurysms, four arteriovenous fistulas) were detected with color Doppler flow imaging in patients with enlarging groin hematomas and/or groin bruits 6 hours to 14 days after catheterization procedures. UGCR was not performed in 10 patients due to spontaneous thrombosis (n = 4), infection (n = 1) or skin ischemia (n = 1), unsuitable anatomy (n = 3), or excessive discomfort (n = 1). The remaining 29 patients underwent a full trial of compression therapy, and the lesion was eliminated in 27. Follow-up color flow scans were obtained after 24-72 hours in all 27 successful cases and at 1-15 months in 19; no recurrences or complications occurred. UGCR for acute injuries is safe and technically simple and is promising as a cost-effective, first-line treatment for uncomplicated catheterization-related femoral artery injuries. UGCR is probably not appropriate for long-standing injuries.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 671-675 |
| Number of pages | 5 |
| Journal | Radiology |
| Volume | 178 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1991 |
| Externally published | Yes |
Keywords
- Aneurysm, femoral, 921.732
- Angiography, complications, 921.122, 921.494, 921.732
- Arteries, US studies, 921.12984
- Arteries, injuries, 921.494, 921.732
- Fistula, arteriovenous, 921.494
- Ultrasound (US), guidance
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging