Madia Carol
Carol Madia practices in vascular surgery at the University of Pittsburgh (Pa.) Medical Center. The author has disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2019 Jun;32(6):15-18. doi: 10.1097/01.JAA.0000558236.60240.02.
Femoral artery pseudoaneurysm is the most common complication of femoral artery access. Since the 1990s, use of femoral artery access has increased along with cardiac and peripheral interventions. Conservative management with observation is an option for some patients with femoral artery pseudoaneurysms. Open surgical repair was the mainstay of therapy before 1990 but was replaced by ultrasound-guided compression, which in turn has been replaced by ultrasound-guided thrombin injection because of its high success rate and low rate of complications. This article describes femoral artery pseudoaneurysms and their management.
股动脉假性动脉瘤是股动脉穿刺最常见的并发症。自20世纪90年代以来，随着心脏和外周介入治疗的开展，股动脉穿刺的使用有所增加。对于一些股动脉假性动脉瘤患者，观察的保守治疗是一种选择。1990年前，开放手术修复是主要的治疗方法，但后来被超声引导下压迫所取代，由于超声引导下注射凝血酶成功率高、并发症发生率低，超声引导下压迫又被其取代。本文介绍了股动脉假性动脉瘤及其治疗方法。
