This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Brandt, D. Articles by Sorrell, K. A. Search for Related Content PubMed Articles by Brandt, D. Articles by Sorrell, K. A. Social Bookmarking                         What's this?

The Durability of Duplex-Directed Manual Occlusion of Femoral False Aneurysms

Department of Radiology, Eastern Virginia Medical School, Norfolk

Kevin D. Robinson

Vascular Surgery Division, Eastern Virginia Medical School, Norfolk

Roger T. Gregory

Vascular Surgery Division, Eastern Virginia Medical School, Norfolk

Richard J. DeMasi

Christopher S. Dickson

Vascular Surgery Division, Eastern Virginia Medical School, Norfolk

Robert G. Gayle

Vascular Surgery Division, Eastern Virginia Medical School, Norfolk

F. Noel Parent

Kathryn A. Sorrell

Sentara Norfolk General Hospital, Norfolk, Virginia

Duplex-directed manual occlusion (DDMO) has emerged as a first line treatment in selected cases of iatrogenic pseudoaneurysms related to interventional and therapeutic femoral artery cannulations. Early recurrences after successful closure of femoral false aneurysms (FFA) are described in the literature; however, very little long-term follow-up data are available. Therefore, the authors reviewed their experience with DDMO of 45 FFAs between February 1991 and December 1994. Follow-up was arranged to assess the durability of this noninvasive procedure.

DDMO was unsuccessful in three of 45 FFAs (6.6%). Symptomatic recurrences of two FFAs were documented by repeat duplex ultrasound at 7 and 20 days post DDMO. Repeat DDMO was successful on one whereas the other required surgical closure. One additional patient experienced persistent groin discomfort despite successful DDMO necessitating surgical evacuation of a large hematoma. Four patients died during the follow-up period. Thirty-five patients with 36 FFAs remained eligible for long-term eval uation. Three were lost to follow-up and six patients were interviewed by phone and denied symptoms suggestive of recurrence but refused further follow-up. Twenty-six patients with a history of 24 FFAs underwent repeat duplex scans. No recurrent FFAs were identified with mean follow-up of 17.5 months (range 1-35). The authors conclude that DDMO is a safe, effective, and durable treatment of iatrogenic femoral false aneurysms.

Vascular and Endovascular Surgery, Vol. 32, No. 2, 157-162 (1998)
DOI: 10.1177/153857449803200205


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?