Shankar presented a case of pseudoaneurysm at superficial femoral artery secondary to catherizatian/cannulation. Incident happened 6 days ago and claim expanding.
Q - "What is pseudoaneurysm?" - Mr. Hanafiah
"Commonest pseudoaneurysm if non micotic is due to iatrogenic, most common referral from cardiology unit" - Mr. Hanafiah
Q - "Why is it expanding / why doesn't the hole close?" - Mr Hanafiah
A - "it could be either the hole is big or blood to thin i.e. on aspirin / warfarin" - Mr. Hanafiah
Q - "If fail compression, what do you do?" - Mr. Hanafiah
A - "Injection of thrombin, but have to look at the size of the neck, if its>5mm it will be dangerous, afraid injected into blood vessels"
Q - "Can you ligate the external illiac artery?" - Prof. Razman
A - "If it done too early (ligation) there will be no collaterals formation which can lead to ischemia" - Chris
Q - "How to get proximal control?" - Prof Razman
Q - "If this is a micotic aneurysm??" - Mr. Hanafiah
A - "bypass extraanatomical - away from the infection" - Mr Hanafiah
Q - "How many percent if we ligate external illiac for micotic aneurysm in a drug addict will get amputation?" - Mr. Azim
A - "In a HKL series it is about 10%" - Mr. Azim
zairul
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