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      Iatrogenic superficial external pudendal artery pseudoaneurysm: Treatment with doppler us-guided compression

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      Author
      Algin O.
      Mustafayev, A.
      Ozmen, E.
      Date
      2014
      Source Title
      Iranian Journal of Radiology
      Print ISSN
      17351065
      Publisher
      Tehran University of Medical Sciences (TUMS)
      Volume
      11
      Issue
      2
      Language
      English
      Type
      Article
      Item Usage Stats
      127
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      84
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      Abstract
      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.
      Keywords
      Aneurysm
      Angiography
      Catheterization
      False
      Femoral artery
      hemoglobin
      adult
      artery thrombosis
      article
      case report
      clinical feature
      compression therapy
      computed tomography scanner
      coronary artery occlusion
      coronary stent
      Doppler flowmetry
      false aneurysm
      heart catheterization
      hemoglobin blood level
      human
      iatrogenic disease
      iatrogenic superficial external pudendal artery pseudoaneurysm
      image reconstruction
      inguinal hernia
      left anterior descending coronary artery
      male
      middle aged
      morphology
      multidetector computed tomography
      smoking
      three dimensional imaging
      transluminal coronary angioplasty
      treatment duration
      Permalink
      http://hdl.handle.net/11693/26595
      Published Version (Please cite this version)
      http://dx.doi.org/10.5812/iranjradiol.7228
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      • National Magnetic Resonance Research Center (UMRAM) 175
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