ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Retrospective analysis of 120 cases of iatrogenic and traumatic peripheral arterial pseudoaneurysms
1 Ataturk University Faculty of Medicine, Department of Cardiology, Erzurum, Turkey  
2 Ataturk University Faculty of Medicine, Department of Cardiovascular Surgery, Erzurum, Turkey  
Eurasian J Med ; : -
DOI: 10.5152/eurasianjmed.2019.18422
Key Words: Pseudoaneurysm, Femoral artery, Surgical procedures
Abstract

Objective: The formation of the pseudoaneurysm is the most common complication of arterial catheterization. In this study, we aimed to to report our clinical experience with the treatment of iatrogenic and post-traumatic pseudoaneurysms of the peripheral arteries.

 

Materials and Method: 120 patients took part in this study, who were treated with the diagnosis of arterial pseudoaneurysm of the lower or upper extremity artery between January 2010 and October 2017. Patients with pseudoaneurysms originated from the anastomotic line of the previous vascular operations were excluded from the study. The diagnosis of pseudoaneurysms was made using ultrasonography and confirmed by magnetic resonance imaging (MRI) or computed tomography (CT) scan when deemed necessary.

 

Results: The most frequent symptom was reported to be a pulsatile mass. The mean diameter of pseudoaneurysms was 4.7 ± 1.8 cm (2.3-8 cm). 108 patients underwent surgery and 10 patients required a blood transfusion during the operation. Wound infection was reported in 20 patients (15.5%) as an early postoperative complication. Arterial thrombosis developed in six patients (4.5%), venous thrombosis in two patients (1.7%) and lymphorrhea in fifteen patients (12.5%). A male patient died on the postoperative 25th day, while two patients died on postoperative 10th and 12th days (2.5%).

 

Conclusion: Although lesser invasive treatment modalities have been described with some advantages or disadvantages, open surgical repair is the standard method of treatment for iatrogenic and traumatic peripheral arterial pseudoaneurysms.

 

You may cite this article as: Koza Y, Kaya U. Retrospective analysis of 120 cases of iatrogenic and traumatic peripheral arterial pseudoaneurysms. Eurasian J Med 2019; DOI: 10.5152/eurasianjmed.2019.18422.

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