Thrombin Injection Vs Conventional Surgical Repair in Treatment of Iatrogenic Post-Cath Femoral Artery Pseudoaneurysm (Ifap)
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2020, Vol 4, Issue 1
Abstract
Background: Femoral pseudo aneurysms may complicate up to 8% of vascular interventional procedures. Small pseudo aneurysms can spontaneously clot, but sometimes treatment is needed. Surgery has traditionally been considered the ’gold standard’ treatment, although it is not without risk. Less invasive treatment options such as Duplex ultrasound-guided compression and percutaneous thrombin injection are available alternatives; however, their efficacy was a concern. Aim of the study: Study the safety and efficiency of the thrombin injection in comparison to the conventional surgery as an alternative treatment of IFAPs. Patients and Methods: 120 patients were divided into two groups A and B Group A underwent a surgical repair. Group B underwent US guided Thrombin injection Results: Results were studied in terms of Success, Recurrence, Bleeding, Thrombosis, Infection, Secondary Haemorrhage and amputations For Group A: All procedure were successful, 2 patients had wound infection, one patient had a secondary haemorrhage ended up with AKA For Group B: 58 out of 60 procedures were successful. Only 2 needed surgical intervention. Conclusion: Thrombin injection can be considered as a safe and considerably efficient alternative for surgery in management of femoral artery pseudo aneurysm.
Authors and Affiliations
Sharkawy M*, Farghaly A and Fouad AG
Keywords
Related Articles
- EP ID EP747095
- DOI 10.23880/ijsst-16000144
- Views 1
- Downloads 0
Giant Trichobezoar: A Rare Cause of Gastric Outlet Obstruction
Bezoars are uncommon conglomerates made up of foreign bodies like vegetable fibers, hair, inspissated/formula milk, semi-fluid medications or pills etc. in the alimentary tract of humans and certain animals. These eleme...
Early Surgical Resection for Symptomatic Congenital Cystic Adenomatoid Malformation (CCAM) in the Newborn Child
Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare congenital abnormality. We present here a one month male child who had no respiratory distress after birth, but gradually developed dyspnea. The di...
Surgical Treatment of Gynecomastia: How to Achieve Optimal Results in Mild to Moderate Cases?
Surgicаl trеаtmеnt of gynеcomаstiа is one of the most common but very demanding procedures in the field of the male plastic surgery. Achieving an effective and aesthetically acceptable outcome is of a paramount importan...
Splint Designed to be used in the Pre- and Post-Operative Correction of Pectus Excavatum with the Nuss Procedure, Pectus Press (PP)
Objective: Evaluation of effectiveness of the use of the Pectus Press (PP) on patients with Pectus Excavatum (PE) as initial and post-operative treatment of the Nuss procedure for the correction of posture, reduction of...
A Short Term Outcome of Laparoscopic Hand Sewn and Stapled Gastrojejunostomy in Gastric Outlet Obstruction - An Observational Study
Background: Gastric Outlet Obstruction is a disease condition, where there is inability of gastric contents to go beyond the proximal duodenum. The major cause is known to be malignancy, especially in the developing wor...