What is a femoral artery pseudoaneurysm?

What is a femoral artery pseudoaneurysm?

Hear this out loudPauseINTRODUCTION. The femoral artery pseudoaneurysm (FAP) is a troublesome groin complication related to the femoral arterial access site used for invasive cardiovascular procedures. 1. FAP occur in 0.1% to 0.2% of diagnostic angiograms and 0.8% to 2.2% following interventional procedures.

What is the most common cause of a pseudoaneurysm in the leg?

Hear this out loudPausePseudoaneurysms can develop in any artery, but they’re most common in the femoral artery, especially if you’ve undergone a cardiac catheterization procedure. A pseudoaneurysm can also be caused by: trauma. surgical procedures.

How do you fix a femoral pseudoaneurysm?

Hear this out loudPauseManagement of femoral artery pseudoaneurysm has changed from surgical intervention to radiological intervention by transcatheter embolization using thrombin, direct percutaneous injection of thrombin, transcatheter fibrin adhesives and coils. Surgical interventions include aneurysmectomy and arterial repair.

What causes femoral aneurysm?

Hear this out loudPauseRisk factors for femoral artery aneurysms include smoking, arteriosclerosis, high blood pressure, and systemic connective tissue disorders. In asymptomatic patients, these aneurysms may be detected by patients or on physical examination as a groin bulge or mass.

When do you treat femoral pseudoaneurysm?

Hear this out loudPauseMore aggressive treatment should be considered if a pseudoaneurysm is >2 cm, has a short (<4 mm) neck width, is enlarging, is associated with significant pain, or occurs within 7 days of femoral access, or if continued anticoagulation is required.

How serious is a pseudoaneurysm?

Hear this out loudPauseOn the contrary, persistent pseudoaneurysms may enlarge and lead to complications related to compression of the adjacent femoral vein, nerve and overlying skin. This may cause leg edema, deep vein thrombosis, compressive neuropathy and skin necrosis.

How painful is a pseudoaneurysm?

Hear this out loudPausePseudoaneurysms usually present as a painful, tender, pulsatile mass. The overlying skin is sometimes erythematous (red). They can sometimes be confused with abscesses. The patient may describe a history of catheterization or trauma, and they may note that the pulsatile mass is gradually expanding.

What is the difference between pseudoaneurysm and aneurysm?

Hear this out loudPauseA saccular-shaped aneurysm bulges or balloons out only on one side. A pseudoaneurysm, or false aneurysm, is not an enlargement of any of the layers of the blood vessel wall. A false aneurysm may be the result of a prior surgery or trauma.

Is pseudoaneurysm worse than aneurysm?

A pseudoaneurysm, also known as a false aneurysm, is when there is a local hematoma being contained by the surrounding tissue around an artery. It is usually caused by a penetrating injury to the vessel, which then leads to a leakage of blood and causes this local hematoma….

How do you fix pseudoaneurysm?

1. Ultrasound-guided compression repair. In this treatment, your doctor will look for your pseudoaneurysm using ultrasound imaging.
2. Ultrasound-guided medication. In this treatment, your doctor uses ultrasound imaging to locate and inject a blood clot-forming medication (thrombin) into the pseudoaneurysm.
3. Surgery.

What do they do for a pseudoaneurysm?

Hear this out loudPauseCurrently the treatment options for pseudoaneurysms include ultrasound guided compression (USGC), thrombin therapy, arterial embolisation, endovascular stent graft insertion and surgery.