Vol. 70 No. 4 (2018)
Original Articles

Treatment of iatrogenic pseudoaneurysm with echo-guided compression

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  • Daniela González H.,
  • Sandra Hasbún A.,
  • Roberto Tapia R.,
  • Juan Carlos Herrera N.,
  • Patricio Tepper L.,
  • Gabriela Molina G.,
  • Gonzalo Contreras H.
Daniela González H.
Hospital Regional de Talca
Sandra Hasbún A.
Hospital Regional de Talca
Roberto Tapia R.
Hospital Regional de Talca
Juan Carlos Herrera N.
Hospital Regional de Talca
Patricio Tepper L.
Hospital Regional de Talca
Gabriela Molina G.
Hospital Regional de Talca
Gonzalo Contreras H.
Hospital Regional de Talca

Published 2018-08-08

Keywords

How to Cite

1.
González H. D, Hasbún A. S, Tapia R. R, Herrera N. JC, Tepper L. P, Molina G. G, et al. Treatment of iatrogenic pseudoaneurysm with echo-guided compression. Rev Cir. [Internet]. 2018 Aug. 8 [cited 2026 Sep. 4];70(4). Available from: https://plataforma.revistacirugia.cl/index.php/revistacirugia/article/view/265
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Abstract

Objective: To evaluate the effectiveness obtained with echo guided compression as the first choice to achieve thrombosis of iatrogenic pseudoaneurysm after study or interventionism.

Material and Method: Retrospective observational study of 9 patients who underwent echo-guided compression as the first management alternative to iatrogenic pseudoaneurysms following diagnostic or therapeutic procedures that occurred between August 2012 and December 2015 at the Regional Hospital of Talca.

Results: Of 4,070 procedures the complication was presented in 9 patients, 0.22%; 7 after therapeutic procedures (0.4%), and 2 in the diagnostic group (0.08%). The sample consists of 6 men and 3 women of average age 70 years. The involved vessel was mainly the femoral artery with 77%. Pseudoaneurysms occurred mostly after therapeutic procedures (77%); and the success of the echogenic compression was obtained in 67%. There were no complications associated with treatment.

Conclusions: Image guided compression has a lower success rate in this small series than those obtained by other authors, but since there are no complications and because of its low cost, we believe that it should be kept as the first alternative.

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