This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Incidence and Operative Repair

John J. Skillman, MD; Ducksoo Kim, MD; Donald S. Bairn, MD

Arch Surg. 1988;123(10):1207-1212.

Abstract
• Of 7333 patients undergoing percutaneous left-heart catheterization procedures during a seven-year seven-month period, 73 patients (1%) underwent 75 operative repairs of catheterization-related vascular complications. The overall incidence of operative repair varied according to the type of percutaneous femoral artery procedure performed: 0.6% for diagnostic heart catheterization, 0.9% for percutaneous transluminal angioplasty, 5.2% for transfemoral balloon valvuloplasty, and 11.5% for intra-aortic balloon pump placement. This suggests that (1) femoral and iliac artery occlusions can and should be repaired promptly while the patient is under local anesthesia; (2) false aneurysms in this clinical setting can be approached directly through the aneurysm cavity; (3) the diagnosis of false aneurysm or arteriovenous fistula can usually be made on clinical grounds alone, without resorting to angiography; (4) venous or arterial patch angioplasty is the preferred technique for small or severely traumatized femoral arteries; and (5) the necessity for operative repair of these lesions will continue to increase in frequency as percutaneous cardiologic diagnostic and therapeutic interventions are used more widely.

(Arch Surg 1988;123:1207-1212)

Author Affiliations
From the Charles A. Dana Research Institute (Drs Skillman, Kim, and Baim), the Departments of Surgery (Dr Skillman) and Radiology (Dr Kim), the Harvard-Thorndike Laboratory (Dr Baim), and the Cardiovascular Division of the Department of Medicine (Dr Baim), Harvard Medical School, and the Beth Israel Hospital (Drs Skillman, Kim, and Baim), Boston.

Footnotes
Accepted for publication April 14, 1988.

Read before the 14th Annual Meeting of the New England Society for Vascular Surgery, Bretton Woods, NH, Sept 10, 1987.

Reprint requests to Department of Surgery, Beth Israel Hospital, 330 Brookline Ave, Boston, MA 02215 (Dr Skillman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis
San Norberto Garcia et al.
ICVTS 2009;8:353-357.
ABSTRACT | FULL TEXT  

Development of Nonobstructive Intraarterial Thrombi After Injection of Thrombin into Pseudoaneurysms
Dasyam et al.
Am. J. Roentgenol. 2006;186:401-405.
ABSTRACT | FULL TEXT  

One-year outcome of patients submitted to routine fractional flow reserve assessment to determine the need for angioplasty
Legalery et al.
Eur Heart J 2005;26:2623-2629.
ABSTRACT | FULL TEXT  

Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: The benchmark registry
Stone et al.
J Am Coll Cardiol 2003;41:1940-1945.
ABSTRACT | FULL TEXT  

Femoral Pseudoaneurysms: Management with Percutaneous Thrombin Injections--Success Rates and Effects on Systemic Coagulation
Kruger et al.
Radiology 2003;226:452-458.
ABSTRACT | FULL TEXT  

Obliteration of femoral artery pseudoaneurysm by thrombin injection
Edgerton et al.
Ann. Thorac. Surg. 2002;74:S1413-1415.
ABSTRACT | FULL TEXT  

The current practice of intra-aortic balloon counterpulsation: results from the Benchmark Registry
Ferguson et al.
J Am Coll Cardiol 2001;38:1456-1462.
ABSTRACT | FULL TEXT  

Vascular complications after percutaneous coronary interventions following hemostasis with manual compression versus arteriotomy closure devices
Dangas et al.
J Am Coll Cardiol 2001;38:638-641.
ABSTRACT | FULL TEXT  

Sonographically Guided Thrombin Injection of latrogenic Femoral Pseudoaneurysms: Further Experience of a Single Institution
Paulson et al.
Am. J. Roentgenol. 2001;177:309-316.
ABSTRACT | FULL TEXT  

ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines): A report of the American College of Cardiology/ American Heart Association Task Force on practice guidelines (Committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty) endorsed by the Society for Cardiac Angiography and Interventions
Smith et al.
J Am Coll Cardiol 2001;37:2239-2239.
FULL TEXT  

Treatment of Iatrogenic Femoral Arterial Pseudoaneurysms: Comparison of US-guided Thrombin Injection with Compression Repair
Paulson et al.
Radiology 2000;215:403-408.
ABSTRACT | FULL TEXT  

Postcatheterization Pseudoaneurysms and Arteriovenous Fistulas: Repair with Percutaneous Implantation of Endovascular Covered Stents1
Thalhammer et al.
Radiology 2000;214:127-131.
ABSTRACT | FULL TEXT  

Suture-mediated Percutaneous Closure of Antegrade Femoral Arterial Access Sites in Patients Who Have Full Anticoagulation Therapy
Duda et al.
Radiology 1999;210:47-52.
ABSTRACT | FULL TEXT  

Ultrasound-Guided Compression for Treatment of latrogenic Arteriovenous Fistulae
Massie et al.
VASC ENDOVASCULAR SURG 1998;32:263-268.
ABSTRACT  

The Durability of Duplex-Directed Manual Occlusion of Femoral False Aneurysms
Brandt et al.
VASC ENDOVASCULAR SURG 1998;32:157-162.
ABSTRACT  

Bleeding Complications With the Chimeric Antibody to Platelet Glycoprotein IIb/IIIa Integrin in Patients Undergoing Percutaneous Coronary Intervention
Aguirre et al.
Circulation 1995;91:2882-2890.
ABSTRACT | FULL TEXT