2021
DOI: 10.3233/ch-200923
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Contrast-enhanced ultrasound-guided thrombin injection in the management of iatrogenic pseudoaneurysm (PSA): A case report and review of literatures

Abstract: Pseudoaneurysm (PSA) formation is the most common arterial complication of endovascular procedures requiring arterial puncture. The present study reported a case of a 72-year-old male patient with iatrogenic femoral artery PSA treated with contrast-enhanced ultrasound (CEUS) - guided thrombin injection. Conventional ultrasound (US) and CEUS were used to diagnose, guide treatment, and evaluate the treatment efficacy. In the case, the PSA was successfully occluded with 1000 IU of thrombin. During the follow-up a… Show more

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Cited by 5 publications
(3 citation statements)
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“…Then, factor XIIIa with blood Ca 2+ promotes cross-links in fibrin, leading to a thrombus. 7 However, this can increase the risk of acute thrombus dislodgement and lead to distal arterial embolism and limb ischemia.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Then, factor XIIIa with blood Ca 2+ promotes cross-links in fibrin, leading to a thrombus. 7 However, this can increase the risk of acute thrombus dislodgement and lead to distal arterial embolism and limb ischemia.…”
Section: Discussionmentioning
confidence: 99%
“…Thrombin is a serine protease that promotes several reactions associated with coagulation, especially the conversion of fibrinogen into fibrin. Then, factor XIIIa with blood Ca 2+ promotes cross‐links in fibrin, leading to a thrombus 7 . However, this can increase the risk of acute thrombus dislodgement and lead to distal arterial embolism and limb ischemia.…”
Section: Discussionmentioning
confidence: 99%
“…UCA allows intraprocedural assessment of completeness of treatment and can assess distal vasculature for evidence of infarction or distal thrombus. 57…”
Section: Pseudoaneurysmsmentioning
confidence: 99%