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Volume 10 Supplement 1

de Senectute: Age and Health Forum

Color-Doppler-Ultrasound guided compression to repair common femoral artery pseudoaneurysm

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Background

The insurgence of post-catheterization pseudoaneurysms has dramatically increased among the elderly if compared to the past, due to the spreading of endovascular treatments, both of diagnostic and surgical nature. The case presented here shows the usefulness of eco Color Doppler in this kind of pathology.

Materials and methods

Female, 76 y.o., with coronary desease, had undergone coronarography at another hospital. She came to our attention a month later, for suspected deep venous thrombosis of the right leg; we performed an Eco-color-Doppler on her, that showed a pseudoaneurysm of the common femoral artery, sized 4,5 mm x 3,4 mm (see Figure 1). The pseudoaneurysm was treated with ultrasound-guided compression through 7,5 MHz linear probe for about 55’, until the pseudoaneurysm was totally excluded from the femoral artery due to the formation of a thrombus inside it (see Figure 2).

figure1

Figure 1

figure2

Figure 2

A week later, the eco-color-Doppler showed the stabilisation of the thrombus. One month later, the pseudoaneurysm was reduced, no flow was detected into it and no communication to the femoral artery remained.

Results and conclusions

The occurrence of post-catheterization pseudoaneurysms is increasing especially among the elderly; eco-guided compression is a non invasive treatment of these lesions and provides a viable option, as it allows the risks of traditional surgery to be avoided [1, 2].

References

  1. 1.

    Fellmeth BD, Roberts AC, Bookstein JJ, et al: Postangiographic femoral artery injuries: nonsurgical repair with US-guided compression. Radiology. 1991, 178: 671-5.

  2. 2.

    Eisenberg L, Paulson EK, Kliewer MA, Hudson MP, DeLong DM, Carroll BA: Sonographically guided compression repair of pseudoaneurysms: further experience from a single institution. AJR Am J Roentgenol. 1999, 173 (6): 1567-73.

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Author information

Correspondence to B Bonfiglio.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Bonfiglio, B., Dipaola, G., Rivoli, G. et al. Color-Doppler-Ultrasound guided compression to repair common femoral artery pseudoaneurysm. BMC Geriatr 10, A45 (2010) doi:10.1186/1471-2318-10-S1-A45

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Keywords

  • Public Health
  • Femoral Artery
  • Venous Thrombosis
  • Deep Venous Thrombosis
  • Endovascular Treatment