ABSTRACT
Venous aneurysms are uncommon but they can have devastating consequences, including pulmonary embolism, other thromboembolic events and death. We report six cases of venous aneurysm of the extremities, in which the first sign of presence was acute pulmonary embolism. Surgical resection is recommended whenever possible. Our experience suggests that prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for extremity deep and superficial venous aneurysms for their potential risk of developing thromboembolic complications despite adequate anticoagulation. Other venous aneurysms should be excised only if they are symptomatic or enlarging.
Subject(s)
Aneurysm/complications , Lower Extremity/blood supply , Pulmonary Embolism/etiology , Adult , Aneurysm/diagnosis , Aneurysm/therapy , Anticoagulants/therapeutic use , Female , Humans , Male , Middle Aged , Pulmonary Embolism/prevention & control , Tomography, X-Ray Computed , Treatment Outcome , Ultrasonography, Doppler, Duplex , Vascular Surgical Procedures , Veins/surgery , Young AdultABSTRACT
Femoral artery pseudoaneurysm (FAP) is one of the most common vascular complications after cardiac and peripheral angiographic procedures. Ultrasound-guided thrombin injection is the standard procedure for the treatment of FAP. Complications such as thrombotic events with leg ischemia after thrombin leakage into the femoral artery or immunogenic consequences are rare. Our experience indicates the need for caution when treating FAP, as severe complications can occur after thrombin injection in a femoral pseudoaneurysm, leading to a fatal event.
Subject(s)
Aneurysm, False/drug therapy , Catheterization, Peripheral/adverse effects , Femoral Artery , Thrombin/adverse effects , Aged , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Fatal Outcome , Female , Humans , Injections, Intralesional , Thrombin/administration & dosage , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
The Authors, through a review of their vascular surgery experience in the treatment of PAOD at the III General Surgery Institute directed by Prof. G. Di Matteo (University, of Rome), focus their attention on endovascular surgery. Initially considered as an effective complement to "traditional surgery" rapidly its role has grown as an effective alternative for a number of vascular patients.