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Titolo:
POSTINTERVENTIONAL FALSE ANEURYSMS - METH OD, VALUE AND INDICATION OFCOLOR DOPPLER-GUIDED COMPRESSION TREATMENT
Autore:
RAGG JC; BIAMINO G;
Indirizzi:
HUMBOLDT UNIV BERLIN,VIRCHOW KLINIKUM,AUGUSTENBURGER PL 1 D-13353 BERLIN GERMANY
Titolo Testata:
Zentralblatt fur Chirurgie
fascicolo: 9, volume: 122, anno: 1997,
pagine: 782 - 790
SICI:
0044-409X(1997)122:9<782:PFA-MO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
GER
Soggetto:
FEMORAL-ARTERY INJURIES; TRANSLUMINAL CORONARY ANGIOPLASTY; COMPLICATING CARDIAC-CATHETERIZATION; VASCULAR COMPLICATIONS; PSEUDOANEURYSM; REPAIR; DUPLEX; US; ULTRASOUND; SONOGRAPHY;
Keywords:
FALSE ANEURYSM; COMPRESSION TREATMENT; ARTERIAL INTERVENTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
46
Recensione:
Indirizzi per estratti:
Citazione:
J.C. Ragg e G. Biamino, "POSTINTERVENTIONAL FALSE ANEURYSMS - METH OD, VALUE AND INDICATION OFCOLOR DOPPLER-GUIDED COMPRESSION TREATMENT", Zentralblatt fur Chirurgie, 122(9), 1997, pp. 782-790

Abstract

In a prospective 6-year study including 155 pts. with false aneurysm (FA) after peripheral interventions, treatment by color doppler-guidedcompression (CDGC) was evaluated. Diagnosis and treatment were performed 1-42h (mean. 21.5 h) after intervention, using 7.5 MHz transducers. The technique was to apply pressure on the tract connecting FA and artery, to occlude it until thrombosis would induce FA closure. The treatment was successful in 152/155 cases (98.1%), requiring compression for 7 to 65 min. (mean: 28.8 min.). In 3/155 pts, (1.9 %) under coumarin therapy (INR>3.0) a second treatment was necessary (INR<2.3) to obtain FS closure. Tile treatment was well tolerated, only 42/155 pts. (27.1 %) needed analgetics, During CDGC, in 19 cases (5.9%) vagal reactions were observed, furthermore 2 FA ruptures (1.3%, without sequelae).2 cases developed a FA elapse (1.3%), both could be permanently closed by a second CDGC. In conclusion, under the condition of early diagnosis CDGC is a rapid, very effective, safe and non-invasive method to treat postinterventional FA. Conservative, interventional or surgical treatment is limited to fen cases when CDGC is not feasable (infection,compression syndrome), or not successful.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 12:32:58