Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492011000200015
Jornal Vascular Brasileiro
Case Report

Tratamento alternativo para pseudoaneurisma femoral pós-cateterismo

Alternative treatment for postcatheterisation femoral false aneurysm

Marcelo Mendonca Pereira; Jorge Porto Marassi; Orlando Bonin Silva; Ligia Jacqueline Iorio Pires; Lys Nunes dos Santos; Hermogenes Petean Filho; Marcelo Andrei Sampaio Lacativa; Cristina Ribeiro Riguetti-Pinto

http://dx.doi.org/10.1590/S1677-54492011000200015 J Vasc Bras, vol.10, n2, p.177-180, 2011
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Resumo

A incidência de pseudoaneurisma após cateterismo via femoral varia entre 0,1 a 2,0% em procedimentos diagnósticos e 5% em terapêuticos. São descritos tratamentos para pseudoaneurismas desde o método conservador até a intervenção com cirurgia convencional. Nos casos de pseudoanerismas de tamanho médio, o tratamento não invasivo, com compressão com duplex scan ou injeção de trombina/fator de coagulação XIII, é o de escolha. Neste artigo, relatamos dois casos de pseudoaneurisma pós-cateterismo terapêutico, em que foi realizado tratamento combinado utilizando-se técnicas endovascular e de cirurgia aberta. A associação dessas duas modalidades terapêuticas possibilitou a redução de perdas sanguíneas comparando-se à cirurgia convencional isolada, além de minimizar o trauma cirúrgico e reduzir o tempo de internação.

Palavras-chave

Falso aneurisma, cateterismo, doença iatrogênica

Abstract

The incidence of femoral postcatheteriation pseudoaneurysm ranges from 0.1 to 2.0% in diagnostic procedures to 5% in therapeutic procedures. There are several treatment options for pseudoaneurysms, from conservative management to conventional surgical intervention. For medium-sized pseudoaneurysms, ultrasound-guided compression repair or percutaneous injection of thrombin/coagulation factor XIII are the treatments of choice. In this paper, we describe two cases of post-therapeutic catheterization pseudoaneurysm, in which endovascular and conventional surgery were combined. The association of these two modalities of treatment decreased blood loss in comparison with conventional surgery alone, besides reducing surgical trauma and hospital stay.

Keywords

Aneurysm, false, catheterization, iatrogenic disease

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