Iatrogenic superficial external pudendal artery pseudoaneurysm: Treatment with doppler us-guided compression
Iranian Journal of Radiology
Tehran University of Medical Sciences (TUMS)
Item Usage Stats
Pseudoaneurysms rarely occur as a serious complication following incomplete hemostasis of an arterial puncture site. As a result of the increase in diagnostic and therapeutic angiography, the frequency of iatrogenic pseudoaneurysm has increased as well. Iatrogenic pseudoaneurysms associated with angiographic catheterization occur most commonly in the common femoral artery. Here we report a case of iatrogenic superficial external pudendal artery (SEPA) pseudoaneurysm following cardiac catheterization, which was diagnosed with Doppler ultrasound (US) and multidetector computed tomographic angiography (MDCTA) before Doppler US-guided compression therapy. To the best of our knowledge, iatrogenic SEPA pseudoaneurysm, which is an unusual vessel location for pseudoaneurysm occurrence, has not been reported in the literature. In patients in whom anticoagulant-thrombolytic therapy or therapeutic catheterization with larger sized sheath is planned, determination of the precise localization of arterial puncture site is important for the prevention of iatrogenic pseudoaneurysm development. Arterial puncture guided with Doppler US might reduce complications. When suspected, MDCTA is useful in the diagnosis and demonstration of iatrogenic pseudoaneurysms. Treatment of US-guided compression should be the first choice for iatrogenic pseudoaneurysms. Interventional radiologists and cardiologists should have enough experience about the catheterization complications and their treatment in order to decrease the morbidity and mortality related to the intervention.
computed tomography scanner
coronary artery occlusion
hemoglobin blood level
iatrogenic superficial external pudendal artery pseudoaneurysm
left anterior descending coronary artery
multidetector computed tomography
three dimensional imaging
transluminal coronary angioplasty
Published Version (Please cite this version)http://dx.doi.org/10.5812/iranjradiol.7228
Showing items related by title, author, creator and subject.
Türkmen, A.; Ider, Y. Z. (Institute of Physics Publishing, 2001)In this study, a minimal mathematical model of the cardiovascular system is used to study the effects of changes in arterial compliance and cardiac contractility on the onset time of Korotkoff sounds during an auscultatory ...
Comparison of original EuroSCORE, EuroSCORE II and STS risk models in a Turkish cardiac surgical cohort Kunt, A.G.; Kurtcephe, M.; Hidiroglu, M.; Cetin L.; Kucuker, A.; Bakuy V.; Ruchan Akar, A.; Sener, E. (2013)OBJECTIVESThe aim of this study was to compare additive and logistic European System for Cardiac Operative Risk Evaluation (EuroSCORE), EuroSCORE II and the Society of Thoracic Surgeons (STS) models in calculating mortality ...
Leong, S. C.; Kartha, S. -S.; Kathan, C.; Sharp, J.; Mortimore, S. (Elsevier Masson, 2012)Objectives: To evaluate the clinical outcomes of total laryngectomy (TL), complications and factors affecting survival. Design: Retrospective review of hospital electronic database for head and neck squamous cell carcinoma ...