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  • Title: The femoral artery-predilection site for iatrogenic vascular injuries. Causes and therapy.
    Author: Griesenbeck K, Schuster G, Fernholz HJ.
    Journal: Acta Chir Belg; 1977; 76(3):305-8. PubMed ID: 899563.
    Abstract:
    The study evaluates the number of cases, the causes and therapy of iatrogenic injuries to the femoral artery during and after the transfemoral angiographies, which were performed (1968-1975) in the Klinikum of RWTH Aachen. Total rate of complications was 0.15%. Operative indications were as follows: 1 degree hemorrhage in 4 patients, 2 degrees acute ischemic syndrome in 5 patients, 3 degrees a false aneurysm with intermittent claudication in 2 patients. The pathomorphological substrate of the lesions is reviewed and related to corresponding etiological factors. Therapeutic procedures are considered in relation to recent vascular surgical aspects. With the exception of a hemodynamically effective stenosis, reconstructive surgery involved no complication. Principles to be observed in preventing iatrogenic damage to the femoral artery while performing surgical diagnostics are discussed.
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