Treatment of Postinterventional Pseudoaneurysms by Ultrasound-Guided Compression
Steinkamp HJ, Werk M, Felix R. Treatment of postinterventional pseudoaneurysms by ultrasound-guided compression. Invest Radiol 2000;35:186–192. RATIONALE AND OBJECTIVES.This 3-year study was performed to evaluate the effectiveness and safety of ultrasound-guided compression (UGC) in the treatment of...
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| Veröffentlicht in: | Investigative radiology 2000-03, Vol.35 (3), p.186-192 |
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| creator | STEINKAMP, HERMANN J WERK, MICHAEL FELIX, ROLAND |
| description | Steinkamp HJ, Werk M, Felix R. Treatment of postinterventional pseudoaneurysms by ultrasound-guided compression. Invest Radiol 2000;35:186–192.
RATIONALE AND OBJECTIVES.This 3-year study was performed to evaluate the effectiveness and safety of ultrasound-guided compression (UGC) in the treatment of postinterventional pseudoaneurysms (PAs).
METHODS.One hundred ten PAs were sonographically diagnosed after peripheral or cardiac interventions. In 98 patients (65 men and 33 women; age range, 44–79 years), UGC was performed. The PAs were related to the common femoral artery (n = 78), the superficial femoral artery (n = 26), the profound femoral artery (n = 2), and the distal external iliac artery (n = 4). The PAs showed diameters ranging from 0.8 to 9.86 cm (mean, 4.8 cm) and volumes between 0.6 and 109 mL (mean, 15.6 mL). Follow-up examinations including color Doppler–coded ultrasound and peripheral Doppler were performed after 18 hours ± 6 and 28 days ± 4.
RESULTS.Complete closure of the PA and its neck was achieved by UGC in 96 of 98 cases (98%). In 86 of 98 cases (87.8%), UGC was successful during the first session; a second treatment was needed in 10 cases. The compression time varied from 12 to 85 minutes (mean, 35.6 minutes). Except for medically controllable vagal reactions in 4 of 98 cases (4.1%) and 1 easily controlled PA rupture, no treatment-related complications were observed.
CONCLUSIONS.According to the effectiveness and safety results, we conclude that UCG is the method of choice in the treatment of postinterventional PAs. Diagnosis and UGC treatment should be performed as early as possible to minimize symptoms and hospitalization time. |
| doi_str_mv | 10.1097/00004424-200003000-00005 |
| format | Article |
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RATIONALE AND OBJECTIVES.This 3-year study was performed to evaluate the effectiveness and safety of ultrasound-guided compression (UGC) in the treatment of postinterventional pseudoaneurysms (PAs).
METHODS.One hundred ten PAs were sonographically diagnosed after peripheral or cardiac interventions. In 98 patients (65 men and 33 women; age range, 44–79 years), UGC was performed. The PAs were related to the common femoral artery (n = 78), the superficial femoral artery (n = 26), the profound femoral artery (n = 2), and the distal external iliac artery (n = 4). The PAs showed diameters ranging from 0.8 to 9.86 cm (mean, 4.8 cm) and volumes between 0.6 and 109 mL (mean, 15.6 mL). Follow-up examinations including color Doppler–coded ultrasound and peripheral Doppler were performed after 18 hours ± 6 and 28 days ± 4.
RESULTS.Complete closure of the PA and its neck was achieved by UGC in 96 of 98 cases (98%). In 86 of 98 cases (87.8%), UGC was successful during the first session; a second treatment was needed in 10 cases. The compression time varied from 12 to 85 minutes (mean, 35.6 minutes). Except for medically controllable vagal reactions in 4 of 98 cases (4.1%) and 1 easily controlled PA rupture, no treatment-related complications were observed.
CONCLUSIONS.According to the effectiveness and safety results, we conclude that UCG is the method of choice in the treatment of postinterventional PAs. Diagnosis and UGC treatment should be performed as early as possible to minimize symptoms and hospitalization time.</description><identifier>ISSN: 0020-9996</identifier><identifier>EISSN: 1536-0210</identifier><identifier>DOI: 10.1097/00004424-200003000-00005</identifier><identifier>PMID: 10719828</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Aged ; Aneurysm, False - diagnostic imaging ; Aneurysm, False - therapy ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - therapy ; Pressure ; Ultrasonography</subject><ispartof>Investigative radiology, 2000-03, Vol.35 (3), p.186-192</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4225-4024bc022f2bf1e45aacd03df06aa6217d23138368b37c4c900cd838ea4fd4893</citedby><cites>FETCH-LOGICAL-c4225-4024bc022f2bf1e45aacd03df06aa6217d23138368b37c4c900cd838ea4fd4893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10719828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STEINKAMP, HERMANN J</creatorcontrib><creatorcontrib>WERK, MICHAEL</creatorcontrib><creatorcontrib>FELIX, ROLAND</creatorcontrib><title>Treatment of Postinterventional Pseudoaneurysms by Ultrasound-Guided Compression</title><title>Investigative radiology</title><addtitle>Invest Radiol</addtitle><description>Steinkamp HJ, Werk M, Felix R. Treatment of postinterventional pseudoaneurysms by ultrasound-guided compression. Invest Radiol 2000;35:186–192.
RATIONALE AND OBJECTIVES.This 3-year study was performed to evaluate the effectiveness and safety of ultrasound-guided compression (UGC) in the treatment of postinterventional pseudoaneurysms (PAs).
METHODS.One hundred ten PAs were sonographically diagnosed after peripheral or cardiac interventions. In 98 patients (65 men and 33 women; age range, 44–79 years), UGC was performed. The PAs were related to the common femoral artery (n = 78), the superficial femoral artery (n = 26), the profound femoral artery (n = 2), and the distal external iliac artery (n = 4). The PAs showed diameters ranging from 0.8 to 9.86 cm (mean, 4.8 cm) and volumes between 0.6 and 109 mL (mean, 15.6 mL). Follow-up examinations including color Doppler–coded ultrasound and peripheral Doppler were performed after 18 hours ± 6 and 28 days ± 4.
RESULTS.Complete closure of the PA and its neck was achieved by UGC in 96 of 98 cases (98%). In 86 of 98 cases (87.8%), UGC was successful during the first session; a second treatment was needed in 10 cases. The compression time varied from 12 to 85 minutes (mean, 35.6 minutes). Except for medically controllable vagal reactions in 4 of 98 cases (4.1%) and 1 easily controlled PA rupture, no treatment-related complications were observed.
CONCLUSIONS.According to the effectiveness and safety results, we conclude that UCG is the method of choice in the treatment of postinterventional PAs. Diagnosis and UGC treatment should be performed as early as possible to minimize symptoms and hospitalization time.</description><subject>Adult</subject><subject>Aged</subject><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - therapy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - therapy</subject><subject>Pressure</subject><subject>Ultrasonography</subject><issn>0020-9996</issn><issn>1536-0210</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctKAzEUhoMotlZfQWblLnpymdtSilZBsIt2HTJJho7OTGoysfTtzdgqbgyEHA7ffxK-IJQQuCVQ5ncQF-eUYzpWLG48FukJmpKUZRgogVM0BaCAy7LMJujC-7dI0BzYOZoQyElZ0GKKlitn5NCZfkhsnSytH5p-MO4zNhrbyzZZehO0lb0Jbu87n1T7ZN0OTnobeo0XodFGJ3PbbZ3xPkYu0VktW2-ujucMrR8fVvMn_PK6eJ7fv2DFKU0xB8orBZTWtKqJ4amUSgPTNWRSZpTkmjLCCpYVFcsVVyWA0gUrjOS15kXJZujmMHfr7EcwfhBd45Vp2_hUG7zIoczyjI5gcQCVs947U4utazrp9oKAGG2KH5vi1-Z3K43R6-MdoeqM_hM86IsAPwA720Zr_r0NO-PExsh22Ij_fol9ARGHgCE</recordid><startdate>200003</startdate><enddate>200003</enddate><creator>STEINKAMP, HERMANN J</creator><creator>WERK, MICHAEL</creator><creator>FELIX, ROLAND</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200003</creationdate><title>Treatment of Postinterventional Pseudoaneurysms by Ultrasound-Guided Compression</title><author>STEINKAMP, HERMANN J ; WERK, MICHAEL ; FELIX, ROLAND</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4225-4024bc022f2bf1e45aacd03df06aa6217d23138368b37c4c900cd838ea4fd4893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aneurysm, False - diagnostic imaging</topic><topic>Aneurysm, False - therapy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - therapy</topic><topic>Pressure</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STEINKAMP, HERMANN J</creatorcontrib><creatorcontrib>WERK, MICHAEL</creatorcontrib><creatorcontrib>FELIX, ROLAND</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STEINKAMP, HERMANN J</au><au>WERK, MICHAEL</au><au>FELIX, ROLAND</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Postinterventional Pseudoaneurysms by Ultrasound-Guided Compression</atitle><jtitle>Investigative radiology</jtitle><addtitle>Invest Radiol</addtitle><date>2000-03</date><risdate>2000</risdate><volume>35</volume><issue>3</issue><spage>186</spage><epage>192</epage><pages>186-192</pages><issn>0020-9996</issn><eissn>1536-0210</eissn><abstract>Steinkamp HJ, Werk M, Felix R. Treatment of postinterventional pseudoaneurysms by ultrasound-guided compression. Invest Radiol 2000;35:186–192.
RATIONALE AND OBJECTIVES.This 3-year study was performed to evaluate the effectiveness and safety of ultrasound-guided compression (UGC) in the treatment of postinterventional pseudoaneurysms (PAs).
METHODS.One hundred ten PAs were sonographically diagnosed after peripheral or cardiac interventions. In 98 patients (65 men and 33 women; age range, 44–79 years), UGC was performed. The PAs were related to the common femoral artery (n = 78), the superficial femoral artery (n = 26), the profound femoral artery (n = 2), and the distal external iliac artery (n = 4). The PAs showed diameters ranging from 0.8 to 9.86 cm (mean, 4.8 cm) and volumes between 0.6 and 109 mL (mean, 15.6 mL). Follow-up examinations including color Doppler–coded ultrasound and peripheral Doppler were performed after 18 hours ± 6 and 28 days ± 4.
RESULTS.Complete closure of the PA and its neck was achieved by UGC in 96 of 98 cases (98%). In 86 of 98 cases (87.8%), UGC was successful during the first session; a second treatment was needed in 10 cases. The compression time varied from 12 to 85 minutes (mean, 35.6 minutes). Except for medically controllable vagal reactions in 4 of 98 cases (4.1%) and 1 easily controlled PA rupture, no treatment-related complications were observed.
CONCLUSIONS.According to the effectiveness and safety results, we conclude that UCG is the method of choice in the treatment of postinterventional PAs. Diagnosis and UGC treatment should be performed as early as possible to minimize symptoms and hospitalization time.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>10719828</pmid><doi>10.1097/00004424-200003000-00005</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Aneurysm, False - diagnostic imaging Aneurysm, False - therapy Feasibility Studies Female Humans Male Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - therapy Pressure Ultrasonography |
| title | Treatment of Postinterventional Pseudoaneurysms by Ultrasound-Guided Compression |
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