Femoral pseudoaneurysm thrombinjection

Gale, Steven S.; Scissons, Robert P.; Jones, Linda; Salles-Cunha, Sérgio X.

doi:10.1016/s0002-9610(01)00581-5

Cited by 27 publications

(28 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Paulson et al demonstrated superior results of ultrasound guided thrombin injection for pseudoaneurysm repair. 7 Percutaneous thrombin injection has been most studied and described for femoral artery pseudoaneurysms 8,9 and later expanded to include pseudoaneurysms arising at different sites. 10,11 We believe using endovascular stent graft to repair subclavian artery injury and pseudoaneurysm formation a reasonable and viable option to surgery.…”

Section: Discussionmentioning

confidence: 99%

Complex subclavian artery pseudoaneurysm causing failure of endovascular stent repair with salvage by percutaneous thrombin injection

Lee

Brawley

Hung

2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

We report a case of traumatic right subclavian artery pseudoaneurysm, which failed initial treatment by endovascular covered stent. Subsequent catheter angiogram demonstrated filling of the pseudoaneurysm from retrograde flow of the right vertebral artery with outflow through the internal mammary artery. With access to the pseudoaneruysm obstructed, percutaneous thrombin injection was performed. The complex connections of the pseudoaneurysm to the right subclavian, vertebral, and internal mammary arteries resulted in the initial failure of the covered stent to induce thrombosis because of inflow from the right vertebral artery, a so-called "back door vessel".

show abstract

Section: Discussionmentioning

confidence: 99%

Complex subclavian artery pseudoaneurysm causing failure of endovascular stent repair with salvage by percutaneous thrombin injection

Lee

Brawley

Hung

2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Compression is painful to the patient, necessitating the administration of analgesics (10,45). Only fairly superficial pseudoaneurysms can be treated with this method, such as those affecting the femoral, axillary, and brachial arteries (10).…”

Section: Us-guided Compressionmentioning

confidence: 99%

“…Other factors affecting the success of this method include anticoagulation status, pseudoaneurysm size, whether the pseudoaneurysm is simple or complex, age of the pseudoaneurysm, and the length and width of the pseudoaneurysmal neck (10). Rare complications such as venous thrombosis, skin necrosis, and pseudoaneurysmal rupture have been reported (45). Local arterial thrombosis and distal embolization due to occlusion of the underlying artery caused by the pressure required to compress the pseudoaneurysm have also been reported (40).…”

Section: Us-guided Compressionmentioning

confidence: 99%

Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management

et al. 2005

View full text Add to dashboard Cite

Pseudoaneurysms are common vascular abnormalities that represent a disruption in arterial wall continuity. Some complications associated with pseudoaneurysms develop unpredictably and carry high morbidity and mortality rates. The advent of new radiologic techniques with a greater sensitivity for asymptomatic disease has allowed more frequent diagnosis of pseudoaneurysms. Conventional angiography remains the standard of reference for diagnosis but is an invasive procedure, and noninvasive diagnostic modalities (eg, ultrasonography [US], computed tomographic angiography, magnetic resonance angiography) should be included in the initial work-up if possible. A complete work-up will help in determining the cause, location, morphologic features, rupture risk, and clinical setting of the pseudoaneurysm; identifying any patient comorbidities; and evaluating surrounding structures and relevant vascular anatomy, information that is essential for treatment planning. Therapeutic options have evolved in recent years from the traditional surgical option toward a less invasive approach and include radiologic procedures such as US-guided compression, US-guided percutaneous thrombin injection, and endovascular management (embolization, stent-graft placement). The use of noninvasive treatment has led to a marked decrease in the morbidity and mortality rates for pseudoaneurysms.

show abstract

“…Initial thrombin injection is successful in 94% to 100% of attempts (1). Unresponsiveness to thrombin injection is an indication for open surgical repair.…”

Section: Discussionmentioning

confidence: 99%

“…However, this modality is associated with only a 60% success rate. Other disadvantages include increased time to result (30 min to 140 min versus 15 min for thrombin injection), pain and prolonged hospital stay due to the need for multiple attempts (1). Advantages of this modality include a lower chance of occlusion of the native vessel and no risk of the side effects associated with the systemic injection of thrombin.…”

Section: Discussionmentioning

confidence: 99%

Delayed pseudoaneurysm repair: A case report

Franz

Hughart

2007

Int J Angiol

View full text Add to dashboard Cite

Iatrogenic pseudoaneurysms are a complication of arterial catheterization performed for both diagnosis and intervention. Their incidence is approximately 1% following diagnostic catheterizations and 3.2% after interventional procedures. The symptoms of iatrogenic pseudoaneurysm are pain and swelling. The preferred method of treatment consists of thrombin injection under ultrasound guidance, although compression can be used. Most published research describes pseudoaneurysms that occurred close to the time of catheterization; the present case report describes a patient who presented two years postcatheterization with a symptomatic pseudoaneurysm.

show abstract

Femoral pseudoaneurysm thrombinjection

Cited by 27 publications

References 33 publications

Complex subclavian artery pseudoaneurysm causing failure of endovascular stent repair with salvage by percutaneous thrombin injection

Complex subclavian artery pseudoaneurysm causing failure of endovascular stent repair with salvage by percutaneous thrombin injection

Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management

Delayed pseudoaneurysm repair: A case report

Contact Info

Product

Resources

About