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Vascular complications of cardiac catheterization

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1 Vascular complications of cardiac catheterization
Richard L. McCann, MD, Lewis B. Schwartz, MD, Karen S. Pieper, MS  Journal of Vascular Surgery  Volume 14, Issue 3, Pages (September 1991) DOI: / (91)90090-H Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 A,(left) Groin duplex ultrasonography with color flow Doppler imaging 2 days after cardiac catheterization. There is a relatively long passage (single arrow) leading from the femoral artery to the cavity (arrowhead). Flow in this passage is indicated by the blue color. B, (right) Follow-up 2 days later after treatment with only reduced activity shows no flow within the passage (double arrow) and complete thrombosis of the mass. Journal of Vascular Surgery  , DOI: ( / (91)90090-H) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Drawing demonstrates the approach to treatment of patients with acute femoral false aneurysms. A short transverse lower abdominal incision is made, and the distal external iliac artery is exposed just proximal to the inguinal ligament, and a vascular clamp is applied for proximal control. Next, incision is made directly over the palpable mass and the aneurysm entered and back-bleeding controlled with a digital pressure. This method avoids excessive blood loss if control of the vessel is not obtained before entering the aneurysm. Journal of Vascular Surgery  , DOI: ( / (91)90090-H) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Duplex ultrasound and color flow Doppler imaging of an arteriovenous fistula. Continuous flow in the artery (top) is shown and flow in the vein (bottom) from the site of the fistula toward the heart. The Doppler signal shows diastolic augmentation of the flow waveform. Journal of Vascular Surgery  , DOI: ( / (91)90090-H) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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