Pseudoaneurysm Leading to Necrotizing Fasciitis at the Femoral Arterial Puncture Site
Archives of Plastic Surgery
;
: 81-84, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-111678
ABSTRACT
In this article, we present two cases of femoral pseudoaneurysm (PA) at the femoral arterial puncture site followed by necrotizing fasciitis, which is rare but can be fatal when not managed appropriately. PA was revealed by lower-extremity angiography and color-flow Doppler ultrasonography. Hematoma removal, thrombolysis, and bleeder ligation with Gelfoam were repeatedly performed by a vascular surgeon. When necrotizing fasciitis developed, aggressive surgical drainage and creation of a viable wound bed for reconstruction were mandatory. We adopted a vacuum-assisted closure device (Kinetics Concepts International) as the standard treatment for complicated, serious, infected PA of the puncture site. Excellent clinical outcomes were obtained.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ferimentos e Lesões
/
Angiografia
/
Punções
/
Drenagem
/
Falso Aneurisma
/
Ultrassonografia Doppler
/
Fasciite Necrosante
/
Tratamento de Ferimentos com Pressão Negativa
/
Fasciite
/
Artéria Femoral
Idioma:
Inglês
Revista:
Archives of Plastic Surgery
Ano de publicação:
2014
Tipo de documento:
Artigo
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