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Titolo:
PSEUDOANEURYSM AFTER CARDIAC-CATHETERIZATION - THERAPEUTIC INTERVENTIONS AND THEIR SEQUELAE - EXPERIENCE IN 86 PATIENTS
Autore:
ZAHN R; THOMA S; FROMM E; LOTTER R; ZANDER M; SEIDL K; SENGES J;
Indirizzi:
HERZZENTRUM LUDWIGSHAFEN,DEPT CARDIOL,BREMSERSTR 79 D-67063 LUDWIGSHAFEN GERMANY
Titolo Testata:
Catheterization and cardiovascular diagnosis
fascicolo: 1, volume: 40, anno: 1997,
pagine: 9 - 15
SICI:
0098-6569(1997)40:1<9:PAC-TI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL CORONARY ANGIOPLASTY; FEMORAL-ARTERY; VASCULAR COMPLICATIONS; GUIDED COMPRESSION; ULTRASOUND; DIAGNOSIS; DUPLEX; REPAIR; ARTERIOGRAPHY; INJURIES;
Keywords:
PSEUDOANEURYSM; CARDIAC CATHETERIZATION; COMPRESSION BANDAGE; ULTRASOUND GUIDED COMPRESSION; SURGICAL REPAIR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
R. Zahn et al., "PSEUDOANEURYSM AFTER CARDIAC-CATHETERIZATION - THERAPEUTIC INTERVENTIONS AND THEIR SEQUELAE - EXPERIENCE IN 86 PATIENTS", Catheterization and cardiovascular diagnosis, 40(1), 1997, pp. 9-15

Abstract

After diagnostic cardiac catheterization in 8,715 patients, a pseudoaneurysm was diagnosed in 86 (1%) patients, Primary conservative management by repeated compression bandages (CB) or ultrasound guided compression (UGC) was attempted in all patients. Occlusion of the pseudoaneurysm was achieved significantly more often by Dec (41/47; 87%) than byCB (22/39; 56%; P = 0.016). Of 86 patients, 23 (27%) required surgical treatment. Major clinical acute complications occurred after surgeryin 8/23 cases (35%) versus 4/63 (6%; P = 0.0004) following successfulCB or UGC. However, intention-to-treat analysis showed no difference in the rate of acute complications in the CB or UGC group (15.4% versus 12.8%, P = 0.7272), because of a trend towards a higher complicationrate following secondary surgery in the UGC (4/6 = 66.7%), as compared to the CB group (4/17 = 23.5%, P = 0.1589), During follow up, 22/64 (34%) patients reported persistent inguinal complaints, 9/15 (60%) after surgery and 13/49 (27%) after successful CB or UGC (P = 0.0169), However, according to the intention-to-treat analysis, there was no significant difference between the initial groups (CB: 26.1% versus UGC: 39.0%, P = 0.2958). Despite a higher effectiveness of UGC to achieve occlusion of a pseudoaneurysm compared to CB (87% vs. 56%), UGC is not superior to CB because of a higher rate of acute complications as well as long-term complaints in those patients requiring secondary surgery in the UCG group as compared to the CB group. (C) 1997 Wiley-Liss, Inc.

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Documento generato il 04/04/20 alle ore 15:02:59