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Int J Angiol 2019; 28(01): 020-024
DOI: 10.1055/s-0039-1677676
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pseudoaneurysms of the Peripheral Arteries

Jon C. Henry
1   Division of Vascular Surgery, Grant Medical Center, OhioHealth Heart and Vascular Institute, Columbus, Ohio
,
Randall W. Franz
1   Division of Vascular Surgery, Grant Medical Center, OhioHealth Heart and Vascular Institute, Columbus, Ohio
› Author Affiliations
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Publication History

Publication Date:
22 January 2019 (online)

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Abstract

Peripheral arterial pseudoaneurysm, while relatively rare, are encountered by most vascular specialists. This review evaluates the epidemiology, diagnosis, natural history, and treatment of pseudoaneurysm in the peripheral arteries. Most of this review concentrates on iatrogenic peripheral pseudoaneurysms, but pseudoaneurysms of other etiologies will also be discussed.

Keywords

aneurysm - endovascular repair - peripheral arterial disease - percutaneous - pseudoaneurysm - ultrasound - vascular surgery
 

  • References

  • 1 Stone PA, Campbell JE, AbuRahma AF. Femoral pseudoaneurysms after percutaneous access. J Vasc Surg 2014; 60 (05) 1359-1366
    CrossrefPubMedGoogle Scholar
  • 2 Chun EJ. Ultrasonographic evaluation of complications related to transfemoral arterial procedures. Ultrasonography 2018; 37 (02) 164-173
    CrossrefPubMedGoogle Scholar
  • 3 Shah KJ, Halaharvi DR, Franz RW, Jenkins Ii J. Treatment of iatrogenic pseudoaneurysms using ultrasound-guided thrombin injection over a 5-year period. Int J Angiol 2011; 20 (04) 235-242
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Gale SS, Scissons RP, Jones L, Salles-Cunha SX. Femoral pseudoaneurysm thrombinjection. Am J Surg 2001; 181 (04) 379-383
    CrossrefPubMedGoogle Scholar
  • 5 Mlekusch W, Haumer M, Mlekusch I. , et al. Prediction of iatrogenic pseudoaneurysm after percutaneous endovascular procedures. Radiology 2006; 240 (02) 597-602
    CrossrefPubMedGoogle Scholar
  • 6 Ayhan E, Isik T, Uyarel H. , et al. Femoral pseudoaneurysm in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: incidence, clinical course and risk factors. Int Angiol 2012; 31 (06) 579-585
    PubMedGoogle Scholar
  • 7 Hoke M, Koppensteiner R, Schillinger M. , et al. D-dimer testing in the diagnosis of transfemoral pseudoaneurysm after percutaneous transluminal procedures. J Vasc Surg 2010; 52 (02) 383-387
    CrossrefPubMedGoogle Scholar
  • 8 Paulson EK, Hertzberg BS, Paine SS, Carroll BA. Femoral artery pseudoaneurysms: value of color Doppler sonography in predicting which ones will thrombose without treatment. AJR Am J Roentgenol 1992; 159 (05) 1077-1081
    CrossrefPubMedGoogle Scholar
  • 9 Franklin JA, Brigham D, Bogey WM, Powell CS. Treatment of iatrogenic false aneurysms. J Am Coll Surg 2003; 197 (02) 293-301
    CrossrefPubMedGoogle Scholar
  • 10 Huseyin S, Yuksel V, Sivri N. , et al. Surgical management of iatrogenic femoral artery pseudoaneurysms: a 10-year experience. Hippokratia 2013; 17 (04) 332-336
    PubMedGoogle Scholar
  • 11 Kent KC, McArdle CR, Kennedy B, Baim DS, Anninos E, Skillman JJ. A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 1993; 17 (01) 125-131 , discussion 131–133
    CrossrefPubMedGoogle Scholar
  • 12 Samuels D, Orron DE, Kessler A. , et al. Femoral artery pseudoaneurysm: Doppler sonographic features predictive for spontaneous thrombosis. J Clin Ultrasound 1997; 25 (09) 497-500
    CrossrefPubMedGoogle Scholar
  • 13 Toursarkissian B, Allen BT, Petrinec D. , et al. Spontaneous closure of selected iatrogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg 1997; 25 (05) 803-808 , discussion 808–809
    CrossrefPubMedGoogle Scholar
  • 14 Franz RW, Hughart C. Delayed pseudoaneurysm repair: a case report. Int J Angiol 2007; 16 (03) 119-120
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Fellmeth BD, Roberts AC, Bookstein JJ. , et al. Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression. Radiology 1991; 178 (03) 671-675
    CrossrefPubMedGoogle Scholar
  • 16 Taylor BS, Rhee RY, Muluk S. , et al. Thrombin injection versus compression of femoral artery pseudoaneurysms. J Vasc Surg 1999; 30 (06) 1052-1059
    CrossrefPubMedGoogle Scholar
  • 17 Schneider C, Malisius R, Küchler R. , et al. A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms. Int J Cardiol 2009; 131 (03) 356-361
    CrossrefPubMedGoogle Scholar
  • 18 Görge G, Kunz T, Kirstein M. A prospective study on ultrasound-guided compression therapy or thrombin injection for treatment of iatrogenic false aneurysms in patients receiving full-dose anti-platelet therapy. Z Kardiol 2003; 92 (07) 564-570
    CrossrefPubMedGoogle Scholar
  • 19 Yang EY, Tabbara MM, Sanchez PG. , et al. Comparison of ultrasound-guided thrombin injection of iatrogenic pseudoaneurysms based on neck dimension. Ann Vasc Surg 2018; 47: 121-127
    CrossrefPubMedGoogle Scholar
  • 20 Jargiełło T, Sobstyl J, Światłowski Ł. , et al. Ultrasound-guided thrombin injection in the management of pseudoaneurysm after percutaneous arterial access. J Ultrason 2018; 18 (73) 85-89
    CrossrefPubMedGoogle Scholar
  • 21 Khoury M, Rebecca A, Greene K. , et al. Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms. J Vasc Surg 2002; 35 (03) 517-521
    CrossrefPubMedGoogle Scholar
  • 22 Stone PA, Aburahma AF, Flaherty SK. Reducing duplex examinations in patients with iatrogenic pseudoaneurysms. J Vasc Surg 2006; 43 (06) 1211-1215
    CrossrefPubMedGoogle Scholar
  • 23 Kufner S, Cassese S, Groha P. , et al. Covered stents for endovascular repair of iatrogenic injuries of iliac and femoral arteries. Cardiovasc Revasc Med 2015; 16 (03) 156-162
    CrossrefPubMedGoogle Scholar
  • 24 Luther A, Kumar A, Negi KNR. Peripheral arterial pseudoaneurysms–a 10-year clinical study. Indian J Surg 2015; 77 (Suppl. 02) 603-607
    CrossrefPubMedGoogle Scholar
  • 25 San Norberto García EM, González-Fajardo JA, Gutiérrez V, Carrera S, Vaquero C. Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis. Interact Cardiovasc Thorac Surg 2009; 8 (03) 353-357
    PubMedGoogle Scholar