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Rick Feld, MD, Gerald M. Patton, MD, R

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Presentation on theme: "Rick Feld, MD, Gerald M. Patton, MD, R"— Presentation transcript:

1 Treatment of iatrogenic femoral artery injuries with ultrasound-guided compression 
Rick Feld, MD, Gerald M. Patton, MD, R.Anthony Carabasi, MD, Archie Alexander, MD, Daniel Merton, RDMS, Laurence Needleman, MD  Journal of Vascular Surgery  Volume 16, Issue 6, Pages (December 1992) DOI: / (92)90045-A Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Transverse color Doppler ultrasonogram of right groin shows abnormal flow (curved white arrow) in pseudoaneurysm. Neck of pseudoaneurysm is clearly identified (straight black arrow) by color Doppler ultrasonography. Journal of Vascular Surgery  , DOI: ( / (92)90045-A) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Sagittal color Doppler ultrasonogram of right groin in same patient as Fig. 1 after successful UGCR shows hypoechoic thrombus (straight white arrow) with no residual flow in pseudoaneurysm. Underlying native common femoral artery and vein show patency by color Doppler ultrasonography. Journal of Vascular Surgery  , DOI: ( / (92)90045-A) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Duplex Doppler spectral waveform shows that neck is located anterior to pseudoaneurysm; systolic component of to-and-fro pattern is directed away from transducer (curved arrow). Feeding vessel was either artery in soft tissue above pseudoaneurysm or common femoral artery that fed pseudoaneurysm via very long tract. Common femoral artery is not in this image but is adjacent to common femoral vein (straight arrow). Journal of Vascular Surgery  , DOI: ( / (92)90045-A) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 After successful UGCR, duplex Doppler shows spectral wave form from regional vessel with unexpected diastolic component (arrow); there was no evidence of persistent abnormal flow in either pseudoaneurysm neck or pseudoaneurysm itself. Journal of Vascular Surgery  , DOI: ( / (92)90045-A) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 5 Algorithm for treatment of patients who have suspected injury after percutaneous catheterization. U/S, Ultrasonography; CDU, color Doppler ultrasonography; F/U, follow-up. Journal of Vascular Surgery  , DOI: ( / (92)90045-A) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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