Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection

Corso, Rocco; Rampoldi, Antonio; Vercelli, Ruggero; Leni, Davide; Vanzulli, Angelo

doi:10.1007/s00270-004-0055-z

Cited by 20 publications

(14 citation statements)

References 10 publications

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“…Other treatment options include the following: thrombin injection, percutaneous stenting, graft revision or bypass, or excision and vascular repair (3,4).…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of an Arteriovenous Dialysis Graft

Cook

Powell

Schofer³

et al. 2012

The Journal of Emergency Medicine

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“…Other treatment options include the following: thrombin injection, percutaneous stenting, graft revision or bypass, or excision and vascular repair (3,4).…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of an Arteriovenous Dialysis Graft

Cook

Powell

Schofer³

et al. 2012

The Journal of Emergency Medicine

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“…Other methods described for dealing with these cases include endovascular stenting, perivascular mesh, and thrombin injection. [6][7][8] However none of these options were available for our patients.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of aneurysms of arteriovenous fistulae in hemodialysis patients: A case series

Valentine¹,

Aworanti²

2010

OAS

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Background: One of the complications of arteriovenous (AV) fistulae used for hemodialysis is aneurysm formation and subsequent risk for rupture. Surgery is one of the modalities utilised to treat this condition. Methods: A retrospective review of medical records was done to identify patients managed surgically at our institution over a four-year period. The surgical procedures varied from aneurysmectomy alone, to partial aneurysmectomy with preservation of the fistula, to aneurysmectomy and creation of a new fistula. Results: Seven patients who had undergone AV fistula aneurysm were identified. The usual presentation was of a pulsatile, expansile mass at the site of the AV fistula scar associated with pain. Two patients presented with bleeding. Patients in whom preservation of the fistula was attempted had poor patency of the fistula postoperatively. All patients in whom aneurysmectomy with creation of a new fistula was done had a functional fistula postoperatively. Discussion: Others have described surgical techniques for fistula preservation, but these have necessitated a significant delay until use of the fistula. Arterial blood flow in a new fistula increases gradually for up to 10 days, then tapers off. Therefore, it should be possible to begin use of the fistula at this time. Conclusions: AV fistula aneurysms may be treated by aneurysmectomy and creation of a new fistula. This may also reduce the waiting time before the fistula can be used for dialysis.

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“…If flow is still present, compression is quickly re-established for additional 10 minute intervals, until occlusion is achieved. Another non-surgical treatment is the percutaneous thrombin injection under ultrasound guidance which has become the treatment of choice for embolization of iatrogenic femoral pseudoaneurysm, and recently has been performed in arteries in other districts [6]. Surgical intervention is needed in complicated cases (symptomatic, expanding, infection, prolonged history, and with large haematomas), and in patients with failed conservative management.…”

Section: Discussionmentioning

confidence: 99%

Radial artery pseudoaneurysm after a single arterial puncture for blood-gas analysis: a case report

Leone

Misuri

Console

2009

Cases J

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We report a case of a radial artery pseudoaneurysm complicating a single arterial puncture for blood-gas analysis that was treated with excision of pseudoaneurysm and suture of the defect of wall of radial artery. The puncture for continuous blood pressure monitoring and serial blood gas analysis have been reported in critically ill patients, but, to the best of our knowledge, there are no cases reported of pseudoaneurysm after a single arterial puncture for blood-gas analysis. In the reported case we think that the main cause of the pseudoaneurysm onset was an incorrect compression and/or a too much short time of compression of the radial artery after the puncture. Minor sequelae and rare complications may be minimized by careful attention to detail in the performance of such procedures and care of the patient also after a single arterial puncture.

show abstract

Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection

Cited by 20 publications

References 10 publications

Pseudoaneurysm of an Arteriovenous Dialysis Graft

Pseudoaneurysm of an Arteriovenous Dialysis Graft

Surgical management of aneurysms of arteriovenous fistulae in hemodialysis patients: A case series

Radial artery pseudoaneurysm after a single arterial puncture for blood-gas analysis: a case report

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