PMID- 24411286
OWN - NLM
STAT- MEDLINE
DCOM- 20140421
LR  - 20161125
IS  - 1879-1913 (Electronic)
IS  - 0002-9149 (Linking)
VI  - 113
IP  - 5
DP  - 2014 Mar 1
TI  - Comparison between ultrasound-guided compression and para-aneurysmal saline 
      injection in the treatment of postcatheterization femoral artery pseudoaneurysms.
PG  - 871-6
LID - S0002-9149(13)02387-4 [pii]
LID - 10.1016/j.amjcard.2013.11.042 [doi]
AB  - Management of postcatheterization femoral artery pseudoaneurysm (FAP) is 
      problematic. Ultrasound-guided compression (UGC) is painful and cumbersome. 
      Thrombin injection is costly and may cause thromboembolism. Ultrasound-guided 
      para-aneurysmal saline injection (PASI) has been described but was never compared 
      against other treatment methods of FAP. We aimed at comparing the success rate 
      and complications of PASI versus UGC. We randomly assigned 80 patients with 
      postcatheterization FAPs to either UGC (40 patients) or PASI (40 patients). We 
      compared the 2 procedures regarding successful obliteration of the FAP, incidence 
      of vasovagal attacks, procedure time, discontinuation of antiplatelet and/or 
      anticoagulants, and the Doppler waveform in the ipsilateral pedal arteries at the 
      end of the procedure. There was no significant difference between patients in 
      both groups regarding clinical and vascular duplex data. The mean durations of 
      UGC and PASI procedures were 58.14 +/- 28.45 and 30.33 +/- 8.56 minutes, respectively 
      (p = 0.045). Vasovagal attacks were reported in 10 (25%) and 2 patients (5%) 
      treated with UGC and PASI, respectively (p = 0.05). All patients in both groups 
      had triphasic Doppler waveform in the infrapopliteal arteries before and after 
      the procedure. The primary and final success rates were 75%, 92.5%, 87.5%, and 
      95% for UGC and PASI, respectively (p = 0.43). In successfully treated patients, 
      there was no reperfusion of the FAP in the follow-up studies (days 1 and 7) in 
      both groups. In conclusion, ultrasound-guided PASI is an effective method for the 
      treatment of FAP. Compared with UGC, PASI is faster, less likely to cause 
      vasovagal reactions, and can be more convenient to patients and physicians.
CI  - Copyright (c) 2014 Elsevier Inc. All rights reserved.
FAU - ElMahdy, Mahmoud Farouk
AU  - ElMahdy MF
AD  - Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo 
      University, Cairo, Egypt.
FAU - Kassem, Hussien Heshmat
AU  - Kassem HH
AD  - Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo 
      University, Cairo, Egypt. Electronic address: hheshmat@kasralainy.edu.eg.
FAU - Ewis, Essam Baligh
AU  - Ewis EB
AD  - Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo 
      University, Cairo, Egypt.
FAU - Mahdy, Soliman Gharieb
AU  - Mahdy SG
AD  - Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo 
      University, Cairo, Egypt.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20131212
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
RN  - 0 (Hemostatics)
RN  - 451W47IQ8X (Sodium Chloride)
RN  - EC 3.4.21.5 (Thrombin)
SB  - IM
MH  - Administration, Cutaneous
MH  - Aneurysm, False/diagnostic imaging/*therapy
MH  - Cardiac Catheterization/adverse effects
MH  - Female
MH  - *Femoral Artery/diagnostic imaging
MH  - *Hemostatic Techniques
MH  - Hemostatics/administration & dosage
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Pressure
MH  - Punctures/adverse effects
MH  - Sodium Chloride/*administration & dosage
MH  - Thrombin/administration & dosage
MH  - Treatment Outcome
MH  - Ultrasonography, Doppler, Color
MH  - Ultrasonography, Interventional
EDAT- 2014/01/15 06:00
MHDA- 2014/04/22 06:00
CRDT- 2014/01/14 06:00
PHST- 2013/06/12 00:00 [received]
PHST- 2013/11/12 00:00 [revised]
PHST- 2013/11/12 00:00 [accepted]
PHST- 2014/01/14 06:00 [entrez]
PHST- 2014/01/15 06:00 [pubmed]
PHST- 2014/04/22 06:00 [medline]
AID - S0002-9149(13)02387-4 [pii]
AID - 10.1016/j.amjcard.2013.11.042 [doi]
PST - ppublish
SO  - Am J Cardiol. 2014 Mar 1;113(5):871-6. doi: 10.1016/j.amjcard.2013.11.042. Epub 
      2013 Dec 12.