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• W1969265810 abstract "We read with interest the article by Norwood and colleagues.1Norwood M.G.A. Lloyd G.M. Moore S. Patel N. Panditi A. Sayers R.D. The changing face of femoral artery false aneurysms.Eur J Vasc Endovasc Surg. 2004; 36: 385-388Google Scholar The management of femoral artery pseudoaneurysm has evolved in recent years and percutaneous ultrasound guided thrombin injection is now recommended as the standard of care. Its efficacy is highlighted by successful pseudoaneurysm thrombosis in 96% of cases and good patient tolerance.2Khoury M. Rebecca A. Greene K. Rama K. Colaiuta E. Flynn L. Berg R. Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms.J Vasc Surg. 2002; 35: 517-521Google Scholar, 3Elford J. Burrell C. Freeman S. Roobottom C. Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms.Cardiovasc Intervent Radiol. 2002; 25: 115-118Google Scholar As described by Norwood, potential reasons for a change in femoral artery pseudoaneurysm incidence may be related to an increased number of interventional cardiological procedures performed coupled with the newer anti-platelet agents now employed. We have recently undertaken a review of 87 patients with 89 iatrogenic pseudoaneurysm treated at our centre between January 1997 and June 2002.4Tambyraja A.L. Raza Z. Nair A. Fraser S.C.A. Chalmers R.T. Murie J.A. The impact of thrombin injection on iatrogenic pseudoaneurysm.Br J Surg. 2003; 90: 115Google Scholar Thrombin injection was introduced as a treatment modality from July 1999. Prior to this, compression therapy and conventional operative repair were utilised in the management of pseudoaneurysm. In the two years (1997–1998) before the introduction of thrombin therapy, 17 (89%) of 19 lesions were repaired surgically. In the two years (2000–2001) after its introduction, 21 (41%) of 51 required operation. While there was no significant increase in the total number of arterial catheterisations, there were significantly more pseudoaneurysms treated after July 1999; the point at which thrombin injection was introduced as a treatment option. Findings of an increased number of pseudoaneurysms referred and treated together with a constant incidence of surgical repair for pseudoaneurysm suggest that a lower threshold for treatment by thrombin injection exists; and may account for the increased incidence seen in our series and that of Norwood and colleagues." @default.
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• W1969265810 date "2004-10-01" @default.
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• W1969265810 title "The Changing Incidence of Femoral Artery Pseudoaneurysm" @default.
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• W1969265810 doi "https://doi.org/10.1016/j.ejvs.2004.07.004" @default.
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