Ultrasound assessment of the morphology of iatrogenic pseudoaneurysms as a prognostic factor in compression therapy

2008
journal article
article
dc.abstract.enBackground: Limiting inconvenience of compression therapy of iatrogenic pseudoaneurysm (IPA) seems to be a good reason to establish additional criteria for assessment of the probability of achieving embolization of a pseudoaneurysm after conventional treatment. As a result, patients who currently are qualified for ineffective compression therapy could be originally selected for operative treatment. Material/Methods: The study group comprised 155 patients with pseudoaneurysms resulting from catheterization of the femoral artery. In all cases, IPA morphology was assessed in duplex Doppler ultrasound and its elements linked with the efficacy of compression therapy. Results: The following parameters of IPA morphology result in significantly worse prognosis for successful conservative treatment with compression: diameter (> 30 mm), cavity volume (> 30 cm3), IPA's multiloculation, lack of progression in thrombosis of IPA cavity, the neck arising from the external iliac artery or the profunda femoris artery as well as from the posterior or lateral wall of any artery. Conclusions: Skipping compression therapy and favoring primary operative treatment should be considered in all these cases. In this way, the number of patients who undergo unsuccessful conservative treatment in a course of several days will be significantly reduced, contributing to a decrease in costs of the therapy and minimizing inconvenience experienced by patients.pl
dc.contributor.authorPawlaczyk, Katarzynapl
dc.contributor.authorGabriel, Marcinpl
dc.contributor.authorJuszkat, Robertpl
dc.contributor.authorKrasiński, Zbigniewpl
dc.contributor.authorWaliszewski, Krzysztofpl
dc.contributor.authorFrankiewicz, Maciejpl
dc.contributor.authorOszkinis, Grzegorzpl
dc.date.accession2019-04-26pl
dc.date.accessioned2019-04-26T10:40:47Z
dc.date.available2019-04-26T10:40:47Z
dc.date.issued2008pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 21pl
dc.description.number1pl
dc.description.physical16-21pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume73pl
dc.identifier.articleid677268pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/73799
dc.identifier.weblinkhttp://archiwum.inforadiologia.pl/download/index/idArt/677268.htmlpl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enendovascular procedurespl
dc.subject.encomplicationspl
dc.subject.enpseudoaneurysmpl
dc.subject.enconservative therapypl
dc.subject.enduplex Doppler ultrasoundpl
dc.subtypeArticlepl
dc.titleUltrasound assessment of the morphology of iatrogenic pseudoaneurysms as a prognostic factor in compression therapypl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Limiting inconvenience of compression therapy of iatrogenic pseudoaneurysm (IPA) seems to be a good reason to establish additional criteria for assessment of the probability of achieving embolization of a pseudoaneurysm after conventional treatment. As a result, patients who currently are qualified for ineffective compression therapy could be originally selected for operative treatment. Material/Methods: The study group comprised 155 patients with pseudoaneurysms resulting from catheterization of the femoral artery. In all cases, IPA morphology was assessed in duplex Doppler ultrasound and its elements linked with the efficacy of compression therapy. Results: The following parameters of IPA morphology result in significantly worse prognosis for successful conservative treatment with compression: diameter (> 30 mm), cavity volume (> 30 cm3), IPA's multiloculation, lack of progression in thrombosis of IPA cavity, the neck arising from the external iliac artery or the profunda femoris artery as well as from the posterior or lateral wall of any artery. Conclusions: Skipping compression therapy and favoring primary operative treatment should be considered in all these cases. In this way, the number of patients who undergo unsuccessful conservative treatment in a course of several days will be significantly reduced, contributing to a decrease in costs of the therapy and minimizing inconvenience experienced by patients.
dc.contributor.authorpl
Pawlaczyk, Katarzyna
dc.contributor.authorpl
Gabriel, Marcin
dc.contributor.authorpl
Juszkat, Robert
dc.contributor.authorpl
Krasiński, Zbigniew
dc.contributor.authorpl
Waliszewski, Krzysztof
dc.contributor.authorpl
Frankiewicz, Maciej
dc.contributor.authorpl
Oszkinis, Grzegorz
dc.date.accessionpl
2019-04-26
dc.date.accessioned
2019-04-26T10:40:47Z
dc.date.available
2019-04-26T10:40:47Z
dc.date.issuedpl
2008
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 21
dc.description.numberpl
1
dc.description.physicalpl
16-21
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
73
dc.identifier.articleidpl
677268
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/73799
dc.identifier.weblinkpl
http://archiwum.inforadiologia.pl/download/index/idArt/677268.html
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
endovascular procedures
dc.subject.enpl
complications
dc.subject.enpl
pseudoaneurysm
dc.subject.enpl
conservative therapy
dc.subject.enpl
duplex Doppler ultrasound
dc.subtypepl
Article
dc.titlepl
Ultrasound assessment of the morphology of iatrogenic pseudoaneurysms as a prognostic factor in compression therapy
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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