Femoral Pseudoaneurysm Compression Theraphy With USG Guidance

Abstract

Introduction: The purpose of the study was to compare the success of ultrasound (US) guided compression therapy of pseudoaneurysms developing in the femoral region after angiographic intervention and the factors affecting this success with the findings described in the literature. Material and Method: A total of 27 patients who underwent compression therapy with US between April 2019 and September 2020 were included in the study. All patients included in the study were evaluated with B-mode ultrasonography (US) and Colour Doppler ultrasonography. Examinations were performed with the affinity G70 ultrasound (Philips Ultrasound, Bothell, WA) device using a 12L3 linear and/or 5C1 convex probe. The volume, neck length and width of the pseudoaneurysm before the procedure, and the total compression time after the procedure were recorded. The recorded features were statistically evaluated with the success of the procedure. Results: Success was achieved in 20(74%) patients, 10(72%) male patients and 10(77%) female patients who underwent compression. The mean pseudoaneurysm volume was calculated as 23.4±21.9 cm³, neck length 8.2±8.02 mm, neck width 2.4±1.12. The mean compression time was calculated as 34.6±11.8 minutes. Statistically, we found that the probability of thrombosis in pseudoaneurysms is higher if the neck is long and the neck width is short. In addition, there is a significant correlation between the increase in femoral compression time and thrombosis of the pseudoaneurysm. Conclusion: US-guided compression therapy is a cheap and effective treatment option, and it is decided by detailed US which patients will respond to compression therapy. Thus, choosing the right patient will minimize both time loss and possible complications. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.