BACKGROUND: It is unknown, whether direct guidance by ultrasound is essential for the safety and efficacy of ultrasound-guided compression repair (UGCR) of @entity2849 . We therefore tested, whether clinically guided manual compression repair (MCR) without continuous ultrasound control may represent an equally effective alternative. METHODS: After ultrasound diagnosis of a @entity2849 , direct manual compression was applied to the lesion until the characteristic clinical signs disappeared or for a maximum of 1 hour. Then a compression bandage was applied for 24 hours. If the @entity2849 persisted, MCR was repeated up to a maximum of three times. RESULTS: Of 96 consecutive @entity1 with @entity2849 , ten @entity1 were referred to primary surgery; one @entity1 refused any therapy. The remaining 85 @entity1 (89%) were treated by MCR. MCR was successful in 74 @entity1 (87%). Of these, 74% were cured at the first attempt, while 16% resp. 10% required 2 resp. 3 compression manoeuvers for definite cure. The success rate tended to be somewhat lower in patients on anticoagulants (78%) than in those on @entity117 (91%) or those without any antithrombotic medication (89%) (p = 0.14). No major complications were observed. Of the 11 @entity1 in whom MCR was unsuccessful, five @entity1 underwent surgical repair; in four @entity1 the @entity2849 thrombosed spontaneously within 1-3 months and 2 @entity2849 persist without complications. CONCLUSIONS: Our results with MCR are comparable to those published for UGCR. Since MCR requires less technical equipment and seems to be less painful for the @entity1 , a prospective comparison of both methods appears warranted.

Manual compression repair of post-catheterization femoral XXXX : an alternative to ultrasound guided compression repair?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['pseudoaneurysm', 'pseudoaneurysms']
@entity2849 :: (MESH:D017541,Disease) :: ['pseudoaneurysms']
