JUM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Order Full text via Infotrieve
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Paulson, E. K.
Right arrow Articles by Carroll, B. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Paulson, E. K.
Right arrow Articles by Carroll, B. A.

Journal of Ultrasound in Medicine, Vol 14, Issue 9 653-659, Copyright © 1995 by American Institute of Ultrasound in Medicine

CLINICAL TRIAL

Ultrasonographically guided manual compression of femoral artery injuries

E. K. Paulson, M. A. Kliewer, B. S. Hertzberg, J. E. Tcheng, R. L. McCann, J. D. Bowie and B. A. Carroll
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA.

To determine the success and complication rates of ultrasonographically guided manual compression in patients with femoral arterial injuries after femoral arterial catheterization, we performed 53 sonographically guided compression repairs in 51 patients. Ultrasonographically guided compression repair was performed on 40 pseudoaneurysms in non-anticoagulated patients, seven pseudoaneurysms in anticoagulated patients, four arteriovenous fistulas on non-anticoagulated patients, and one pseudoaneurysm combined with an arteriovenous fistula. One pseudoaneurysm underwent two separate ultrasonographically guided compression repairs: once when the patient was anticoagulated and once after anticoagulants were withheld. Ultrasonographically guided compression repair was successful in 37 of 48 pseudoaneurysms (77%). Of the 40 pseudoaneurysms in non-anticoagulated patients, ultrasonographically guided compression repair was successful in 36 (90%). This repair technique failed in all seven pseudoaneurysms in anticoagulated patients. Ultrasonographically guided compression repair was successful in 13 of 16 (81%) multilobulated pseudoaneurysms but failed in all arteriovenous fistulas and the one case of pseudoaneurysm combined with an arteriovenous fistula. Ultrasonographically guided compression repair is a safe and effective alternative to surgery for the repair of pseudoaneurysms, including multilobulated pseudoaneurysms. The procedure does not appear to be effective in the anticoagulated patient or in patients with an arteriovenous fistula.


This article has been cited by other articles:


Home page
 VASC ENDOVASCULAR SURGHome page
S. Abisi, C. Chick, I. Williams, S. Hill, and A. Gordon
Endovascular Coil Embolization for Large Femoral False Aneurysms: Two Case Reports
Vascular and Endovascular Surgery, October 1, 2006; 40(5): 414 - 417.
[Abstract] [PDF]

Home page
 J Am Coll CardiolHome page
A. T. Hirsch, Z. J. Haskal, N. R. Hertzer, C. W. Bakal, M. A. Creager, J. L. Halperin, L. F. Hiratzka, W. R.C. Murphy, J. W. Olin, J. B. Puschett, et al.
ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Executive Summary A Collaborative Report From the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation
J. Am. Coll. Cardiol., March 21, 2006; 47(6): 1239 - 1312.
[Full Text] [PDF]

Home page
 RadiologyHome page
E. K. Paulson, D. H. Sheafor, M. A. Kliewer, R. C. Nelson, L. B. Eisenberg, M. W. Sebastian, and M. H. Sketch Jr
Treatment of Iatrogenic Femoral Arterial Pseudoaneurysms: Comparison of US-guided Thrombin Injection with Compression Repair
Radiology, May 1, 2000; 215(2): 403 - 408.
[Abstract] [Full Text]

Home page
 VASC ENDOVASCULAR SURGHome page
D. A. Hodgett, S. S. Kang, and W. H. Baker
Ultrasound-Guided Compression Repair of Catheter-Related Femoral Artery Pseudoaneurysms is Impaired by Anticoagulation
Vascular and Endovascular Surgery, September 1, 1997; 31(5): 639 - 644.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by the American Institute of Ultrasound in Medicine.