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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2005 December;18(6):451-4
Iatrogenic femoral artery pseudoaneurysm
Safar H. A., Farid E., Kansou J., Genaidi G., Al-Ali J., Al-Mosawi A., Asfar S.
Aim. To audit our local experience in the management of femoral artery pseudoaneurysm.
Methods: From January 2001 to July 2002, 52 patients were referred from the interventional cardiology unit (Chest Diseases Hospital) to the Vascular Surgery Service (Mubarak Al-Kabeer Hospital) with the diagnosis of femoral artery pseudoaneurysm. Confirmed cases were treated with blind simple external compression for 48-72 hours. Surgical repair was reserved for lesions which failed to resolve by compression.
Results. During this period, 5206 coronary catheterisation procedure were performed. Of these only 38 patients (0.7%) were confirmed to have developed pseudoaneurysm of the femoral artery. Simple external compression was successful in occluding the pseudoaneurysm in 76% (29/38) of the patients. 24% (n=9) required surgical repair of the femoral artery. After repair two patients developed wound infections and two patients developed angina.
Conclusions. Femoral artery pseudoaneurysm is rare after coronary catheterization procedures. Early referral and simple external compression adequately controls most of these complications.