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Table 1 Patient’s characteristics

From: Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization

Author years

Type of study/Number of patients

Mean age/Gender/underlying condition

Anatomical site of injury/trauma mechanism/type of injury

Type of repair

Results and follow-up

Pigula [5] (2000)

Case report/1

6 mo M/type B interrupted aortic arch

R EIA/TCC/acute bleeding/hematoma secondary to artery transection

Retroperitoneal approach and AISR

Follow-up: 4 mo BPG of 10 mmHg

Lin [2] (2001)

Retrospective cohort/27 underwent surgery for acute complications

4.8 y

(Range, 1 w to 17.4 y)/ M = 19, F = 15/NS

CFA/DCC (70.2%) or TCC (58.8%)

- ALLI, thrombosis (n = 14)

- PsA (n = 4)

- AVF (n = 5)

- Bleeding/hematoma (n = 4)

-ALLI (n = 14):

Thrombectomy + AISR (n = 6), or thrombectomy + resection with E-E anastomosis (n = 2), or thrombectomy plus SVPA (n = 6)

- PsA: AISR

- FAV: AISR, vein ligation or suture repair

- Bleeding/hematoma: AISR

Mean follow-up: 38 mo (range, 8 to 62)

No limb loss, 85% regain normal circulation

30-day mortality of 3% (n = 3)

12% overall morbidity

Dogan [6] (2006)

Retrospective cohort/2

2 y NS/NS

Right CFA/ALLI, embolus (n = 1)/

Right CFA pseudoaneurysm (n = 1)/

Both after failed venipuncture

Embolectomy (n = 1)

End-to-end anastomosis of CFA with 9/0 polypropylene (n = 1)

NS

Aspalter [7] (2007)

Retrospective cohort/8

5.8 y (0.3 to 10.9 y)/F = 2, M = 4/

Ao Co (n = 2)

ARDS (n = 1)

SeD (n = 1)

TOF (n = 1)

NoCC (n = 3)

CFA:

- DCC (n = 1)

- TCC (n = 4)

- Failed venipuncture (n = 3)

- ALLI, thrombosis (n = 3)

- PsA (n = 1)

Psa + ALLI (n = 1)

PsA + AVF (n = 1)

PsA + bleeding (n = 1)

CFA dissection + ALLI (n = 1)

- ALLI o ALLI + PsA: SVPA + thrombectomy (n = 4)

- PsA: SVPA (n = 1)

- PsA + AVF: SVPA + venorraphy (n = 1)

- PsA + bleeding: SVPA (n = 1)

- CFA dissection + ALLI: SVPA + thrombectomy (n = 1)

Most cases with PDS 7/0 suture

Follow-up: 9 mo (1.8 to 77.6)

All children regained normal circulation, which was defined by means of palpable pedal pulses

Salvino [8] (2009)

Case report/1

1 m F/failed femoral vein cannulation

Right EIA and CFA/ALLI, thrombosis

Systemic heparinization first, after 96 h = embolectomy 2 Fr Fogarty catheter + 4 compartment fasciotomy

Reintervention for groin hematoma 24 h later

Follow-up: 1 mo, with triphasic signals in the femoral artery by Doppler

Tasar [9] (2014)

Cases report/2

10 d M, patent ductus arteriosus

Right CFA/TCC/ALLI/artery transection

Embolectomy 2 Fr Fogarty catheter and GSV interposition

Follow-up: NS, only reported as a “long-term follow-up”, colored Doppler USG showed that graft was patent, and no ischemia was observed

  

And 2 y F, patent ductus arteriosus and Pulmonary valve stenosis

Right CFA/TCC/ALLI, thrombosis/EIA occlusion secondary to Amplatzer occluder migration

Iliofemoral bypass with 8 mm PTFE graft

Follow-up: 24 mo, duplex-ultrasonography showed that bypass graft was patent and physical examination was normal

Andraska [3] (2017)

Retrospective cohort/

81, 15 underwent surgery: 8 for ALLI

39 M, 35 F/17 mo (1 day to 17 years) Surgery patients:

ALLI = 10.8 y (range, 7 y to 17y)

ECMO (n = 4)

IIDS (n = 2)

AML (n = 1)

Multiple (n = 1)

CFA/ALLI (74):

- Hemodynamic monitoring (n = 52)

- TCC or DCC (n = 12)

- Cannulation for ECMO (n = 7),—IIDS (n = 2),

ALLI, thrombosis in surgical patients:

- Iliofemoral (n = 3)

- FCA (n = 3)

- NS (n = 2)

- PsA(n = 1)

- Arterial dissection + thrombosis (n = 1)

- 92% (n = 68) a received anticoagulant treatment (LMWH)

- 10.8% (n = 8) received surgery:

- SVPA (n = 2)

-Thrombectomy + AISR (n = 1)

- Thrombectomy + SVPA + fasciotomy (n = 1)

- Bypass with PTFE graft (n = 1)

- Thrombectomy + SVPA + fasciotomy + amputation (n = 1)

-Bilateral BTK amputation (n = 1)

- AVF and Psa ligation (n = 2)

Follow-up: 6 mo (range, 0 to 16) in surgical patients

Complication (n = 4):

- Chronic DVT (n = 1)

- Graft stenosis (n = 1)

- Amputation revision (n = 1)

- Reoperation for wound dehiscence (n = 1)

88% of limb salvage

Beşir [10] (2017)

Retrospective cohort/17

11 F, 6 M/60.7 mo (SD 54.4)/

SeD (n = 7)

TOF (n = 4)

PDA (n = 2)

AoCo (n = 2)

NoCC (n = 2)

Right CFA (n = 11), left CFA (n = 3), left EIA (n = 1)/

-TCC or DCC (n = 15),

- Surgical injury (n = 1)

- External injury (n = 1)

-ALLI, thrombosis (n = 10)

- Hemorrhage (n = 5)

- AISR (n = 15)

- E–E anastomosis (n = 1)

- GSV graft interposition (n = 1)

with 6/0 or 7/0 polypropylene suture

- thrombectomy before repair (n = 16)

Follow-up: NS

No mortality, no limb loss or infection

LoGiudice [11] (2017)

Retrospective cohort/1

1 day F/transposition of great arteries

Right CFA and EIA/DCC/bleeding and ALLI secondary to EIA's avulsion

Iliofemoral bypass with GSV 6 cm of length using 9/0 suture

Follow-up: 36 mo, leg perfused

Şişli [12] (2019)

Case report/1

11 mo F/PDA

Right CIA after TCC/ALLI secondary to arterial dissection

Laparotomy, and CIA to EIA bypass with PTFE

Follow-up: 5 mo

No signs of limb ischemia and graft permeability

Author’s cases (2022)

Cases report/3

12 y F/AoCo

Right CFA occlusion secondary to EIA eversion after Sheath retrieval/TCC/ALLI

Right EIA to CFA 6 mm PTFE graft bypass

Follow-up: 6 mo, bypass patency, palpable pulses, no claudication

Reoperation 4 d after surgery due to retroperitoneal hematoma; internal iliac artery was ligated

  

2 years/21 trisomy and pneumonia

R CFA/ALLI/thrombosis after failed venipuncture

Right femoral thrombectomy with 2Fr Fogarty and AISR

Follow-up: 8 mo, no signs of recurrent ischemia, normal growth chart as it was expected

  

9 y M/SeD

ALLI, thrombosis, secondary to DCC/Right EIA and CFA

Thrombectomy with 2Fr Fogarty and AISR with 7/0 polypropylene suture

Follow-up: 2 y

No claudication

  1. M male; F female; mo months; y years; w week; d days; EIA external iliac artery; CIA Common iliac artery; CFA common femoral artery; SFA superficial femoral artery; TCC Therapeutic Cardiac catheterization; DCC diagnostic cardiac catheterization; BPG blood pressure gradient between upper and lower extremities; AISR arterial interrupted suture repair; IIDS iatrogenic injury during surgery; NS not specified; PTFE polytetrafluoroethylene; ALLI acute lower limb ischemia; PsA Pseudoaneurysm; AVF arteriovenous fistulae; SVPA Saphenous vein patch angioplasty; NoCC noncardiac causes; DSA intraarterial digital subtraction angiography; SeD septal defect; TOF tetralogy of Fallot; ARDS acute respiratory distress syndrome; AoCo aortic coarctation; PDA patent ductus arteriosus. ECMO Extracorporeal membrane oxygenation; LMWH low molecular wight heparin, DVT deep vein thrombosis