Retroperitoneal Haemorrhage from Femoral Access

  • Stavros Spiliopoulos
  • Konstantinos Katsanos
  • Dimitris Karnabatidis
  • Dimitrios Tsetis
  • Dimitris Siablis


One of the most fearful major complications related with common femoral artery access is retroperitoneal haemorrhage, occurring in less than <1 % of the patients undergoing peripheral endovascular procedures and more frequently following coronary interventions. Groin-expanding haematomas are macroscopically evident, but a massive retroperitoneal haematoma can rapidly develop without external signs of bleeding, despite manual compression. This occult bleeding into the pelvis, which usually occurs after high femoral puncture above the inguinal ligament (delineated by the origin of the inferior epigastric artery), should be clinically suspected whenever hypotension, tachycardia, loss of ipsilateral distal pulses, faintness, confusion, lower quadrant abdominal pain and/or any other signs of hypovolemic shock are present immediately after groin haemostasis or even several hours later.


Stent Graft Manual Compression Retroperitoneal Haemorrhage Inferior Epigastric Artery Open Surgical Repair 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Stavros Spiliopoulos
    • 1
  • Konstantinos Katsanos
    • 1
  • Dimitris Karnabatidis
    • 1
  • Dimitrios Tsetis
    • 2
    • 3
  • Dimitris Siablis
    • 1
  1. 1.Department of Diagnostic and Interventional RadiologyPatras University Hospital, School of MedicineRioGreece
  2. 2.Department of Angiography and Interventional Radiology, University Hospital of Heraklion, Faculty of MedicineUniversity of CreteHeraklionGreece
  3. 3.Department of Radiology, Interventional Radiology UnitHeraklion University Hospital, School of Medicine CreteHeraklionGreece

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