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Hamostaseologie 2018; 38(03): 166-172
DOI: 10.5482/HAMO-17-01-0006
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Pseudoaneurysm

Incidence, Therapy and Complications
Sophie Peters
1   Department of Angiology and Cardiology, Otto-von-Guericke University of Magdeburg, Germany
,
Ruediger Braun-Dullaeus
1   Department of Angiology and Cardiology, Otto-von-Guericke University of Magdeburg, Germany
,
Joerg Herold
1   Department of Angiology and Cardiology, Otto-von-Guericke University of Magdeburg, Germany
› Author Affiliations
Further Information

Publication History

24 January 2017

11 September 2017

Publication Date:
27 September 2018 (online)

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Summary

Pseudoaneurysms (PSAs) are commonly known as complications associated with invasive interventions. Because of the pulsatile in- and outflow of blood through the neck of PSAs, they tend to grow and, in the worse cases, can rupture. Therapeutic options are compression therapy, using a compression bandage and ultrasound-guided compression, and thrombin injection. Manual ultrasound-guided compression is widely performed and is successful in most cases. In general, it is combined with a subsequently applied compression bandage. Thrombin injection is a more difficult technique, but it has a higher success rate. This article gives an overview of the characteristics of PSAs, their diagnostic characteristics and the therapeutic methods used to treat them. Complications associated with compression or thrombin injection are also explained in detail.

Zusammenfassung

Pseudoaneurysmen (PSA) gehören neben den Hämatomen zu den häufigsten Komplikationen nach endovaskulären Eingriffen. Durch die Verbindung zum arteriellen Gefäßsystem kommt es zu einem pulsierenden Bluteinstrom, wodurch das PSA an Größe zunimmt und im schlimmsten Fall rupturieren kann. Therapeutische Maßnahmen sind die manuelle ultraschallgestützte Kompression, der Druckverband, die operative Sanierung und die Thrombininjektion. Die manuelle ultraschallgestützte Kompression ist fast in jedem Fall einsetzbar und in der überwiegenden Mehrheit auch erfolgreich. In der Regel wird sie mit der nachfolgenden Anlage eines Druckverbands kombiniert. Die Thrombininjektion ist technisch anspruchsvoller als die alleinige Kompression, zeigt allerdings eine bessere Erfolgsrate. Dieser Artikel gibt eine Übersicht über die Charakteristika von Pseudoaneurysmen, deren Diagnostik und die genannten Therapieverfahren. Auch Komplikationen, welche im Zusammenhang mit der Kompression bzw. Thrombininjektion stehen, werden näher erläutert.

Keywords

Pseudoaneurysm - thrombin injection - compression therapy - bleeding

Schlüsselwörter

Pseudoaneurysma - Thrombininjektion - Kompressionstherapie - Blutung
 

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