Causes of origin and diagnosis of postpunctural false aneurisms of femoral arteries

Abstract

Objective. To estimate the causes of occurrence and quality of diagnosis of false aneurisms (FA) of femoral arteries after endovascular interventions.
 Маterials and methods. In Poltava Regional Clinical Hospital named after М. V. Sklifosovskyi in 2008 - 2017 yrs in 7237 patients 10 783 punctures of femoral arteries were performed for conduction of the diagnosis and treatment interventions in cardiological patients (Group I) and in patients, suffering occlusion-stenotic diseases of main arteries of the lower extremities (Group II). In 57 (0.79%) patients the FA of femoral arteries were revealed. All the patients were examined, using ultrasonographic color angioscanning (USCAS). Встановлені причини виникнення ХА та особливості їх діагностики.
 Results. FA of femoral artery was revealed on the (2.65 ± 2.31) day after the introducer extraction at average. Characteristic complaints had 45 (78.9%) patients. Using USCAS there were revealed the puncture site, the aneurism form, its spread and volume. Local and general factors, promoting development of postpunctural FA, were revealed.
 Conclusion. For the FA development prophylaxis it is mandatory to perform a femoral artery puncture under the USCAS control with a precise localization of the puncture performance site. In the patients with pronounced signs of hypertonic disease and obesity after conduction of a thrombolytic therapy it is expedient to use widely the apparatus for the hemorrhage arrest of the Angio Seal type under ultrasonographic control. On the first day after the introducer extraction it is obligatory to conduct a control USCAS procedure of a puncture site. In a case of diagnosis of transmural wounding of the artery and the aneurism formation the open-access urgent operative intervention must be performed.