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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 1999 December;6(4):281-90
language: English, Italian
Induced thrombosis employing arteriographic guide: a new technique in the treatment of iatrogenic pseudoaneurysms
Mangialardi N., Podda I., Serrao E., Tuccimei I., Ramacci R., Zavattaro E., Giordano G. A., Tozzi A.
From the Vascular Surgery Operating Unit (Head: Prof. N. Mangialardi) Azienda Complesso Ospedaliero San Filippo Neri, Rome
Background. Ultrasound-guided compression and other mini-invasive techniques developed as alternative methods of closing iatrogenic pseudoaneurysms (stent or coil placement, thrombin injection) present a number of drawbacks linked to anatomic conditions, anticoagulation status, local pain, long compression times, foreign materials left inside the body and adverse reactions. The aim of this study was to evaluate the efficacy, results and limits of a new method of treating pseudoaneurysms using a simple arteriographic guide.
Methods. A total of 12 postcatherization pseudoaneurysms were treated. Seven patients underwent the procedure due to the failure or impossibility of using ultrasound-guided compression. The procedure was used directly in five patients. Pseudoaneurysms were directly punctured and an arteriographic guide was introduced into the cavity. The guide was then removed after two hours’ compression using Femostop. All patients underwent echo-Doppler and arteriography at the end of the procedure. A control echo-Doppler was repeated one month and six months after the procedure in all patients.
Results. All pseudoaneurysms treated were closed. No procedure-related local and general complications were reported. The follow-up echo-Doppler examination showed no recurrence in any of the patients.
Conclusions. This technique is highly effective and safe. It has no limits relating to anatomical (site and diameter of pseudoaneurysm) and pharmacological conditions (anticoagulation therapy).