Wery D, Delcour C, Golzarian J, Azancot M, Grand C, Struyven J
Département de Radiologie, Cliniques Universitaires de Bruxelles, Hôpital Erasme.
J Radiol. 1991 Feb;72(2):91-4.
Pseudoaneurysm and arteriovenous fistulae are classical but unusual complications of femoral catheterism. The use of large diameter catheters, heparinotherapy and fibrinolysis constitute risk factors. These local complications are becoming more frequent resulting from an increase in interventional techniques. Therefore, a non invasive management of these lesions becomes necessary. A simple manual percutaneous compression of the puncture site was successful as treatment of 3 arteriovenous fistulae and 4 of 7 pseudoaneurysms. That is the reason why the authors consider that this technique constitutes a good alternative of the surgical treatment.
假性动脉瘤和动静脉瘘是股动脉插管的典型但不常见的并发症。使用大口径导管、肝素治疗和纤维蛋白溶解构成危险因素。由于介入技术的增加，这些局部并发症正变得越来越频繁。因此，对这些病变进行非侵入性治疗变得必要。对穿刺部位进行简单的手动经皮压迫成功治疗了3例动静脉瘘和7例假性动脉瘤中的4例。这就是作者认为该技术是手术治疗的良好替代方法的原因。
