Percutaneous Thrombin Injection of Carotid Artery Pseudoaneurysm

Holder, Rebecca; Hilton, Derek; Martin, Janis; Harris, Peter L.; Rowlands, P. C.; McWilliams, Richard G.

doi:10.1177/152660280200900105

Cited by 39 publications

(22 citation statements)

References 11 publications

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“…Carotid PSA is a rare complication of CEA, as is PSA after inadvertent puncture during attempted placement of central venous catheters. 2,3 In this patient, the PSA may have been associated with the patient's increased risk of bleeding, due to continued use of aspirin, clopidogrel, and heparin for myocardial infarction which developed immediately after the CEA. The patient was on aspirin therapy during the CEA, which is a common challenge for us while performing this procedure.…”

Section: Discussionmentioning

confidence: 94%

Ultrasound-Guided Percutaneous Thrombin Injection of Common Carotid Pseudoaneurysm following Carotid Endarterectomy is Possible

Randazzo

Onye

Khariton

et al. 2016

Journal for Vascular Ultrasound

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Pseudoaneurysm (PSA) of the carotid artery is a rare complication of carotid endarterectomy (CEA) with an incidence of less than 1%. PSAs of other named arteries are commonly treated with ultrasound-guided thrombin injection; however, there are few accounts in the literature discussing the use of this technique for the treatment of carotid PSA, specifically, and none for carotid PSA after CEA. We present the case of an 86-year-old woman with a left common carotid artery PSA, which was noted after left CEA. As emergent treatment, ultrasound-guided direct percutaneous thrombin injection was used without embolic protection. This produced immediate thrombosis of the PSA, without complication. Arterial duplex at long-term follow-up demonstrated sustained PSA closure and patency of the carotid artery system. We report our case and review of the very limited available literature on this procedure.

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Section: Discussionmentioning

confidence: 94%

Ultrasound-Guided Percutaneous Thrombin Injection of Common Carotid Pseudoaneurysm following Carotid Endarterectomy is Possible

Randazzo

Onye

Khariton

et al. 2016

Journal for Vascular Ultrasound

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“…Only one case of ICA PSA successfully treated with this technique has been reported but in an adult patient [13]. The benefits of this technique are many (e.g., lack of use of foreign material and unaltered flow of the affected ICA) and far outweigh the risks (e.g., intra-arterial migration).…”

Section: Discussionmentioning

confidence: 95%

Thrombin Injection Failure with Subsequent Successful Stent-Graft Placement for the Treatment of an Extracranial Internal Carotid Pseudoaneurysm in a 5-Year-Old Child

Garcia-Monaco

Kohan

Martinez-Corvalan

et al. 2011

Cardiovasc Intervent Radiol

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Internal carotid artery pseudoaneurysm is a rare life-threatening condition that may develop in different clinical situations. We report the case of an extracranial internal carotid artery pseudoaneurysm secondary to a throat infection in a pediatric patient that was initially treated with percutaneous thrombin injection under ultrasound guidance. However, recanalization occurred at 48 h, and definitive treatment was then performed by endovascular stent-graft placement. We briefly review the clinical characteristics of this uncommon clinical condition as well as the treatment options.

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“… 5 Furthermore, the addition of coil embolization with coils being placed directly into the PA and stenting across the native carotid artery has also been reported with success. 5 Holder et al reported injecting thrombin directly into the PA with successful obliteration of a traumatic PA. 6 Multiple, overlapping stents have also been reported in treatment of carotid PA, after endarterectomy and for traumatic PA. 4 7 Benndorf et al reported an overlapping covered stent technique for treatment of a dissecting traumatic carotid PA with adequate obliteration. 7 …”

Section: Discussionmentioning

confidence: 99%

Symptomatic Post Endarterectomy Common Carotid Artery Pseudoaneurysm Treated with Combination of Flow Diverter Implantation and Carotid Stenting

2018

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A 74-year-old male developed cervical carotid artery psuedoaneurysm 8 months after carotid endarterectomy. The patient was successfully managed with dual implantation of flow-diverter and conventional carotid stent. Flow-diverter was placed across the neck of pseudoaneurysm to provide flow diversion while carotid stent was implanted within the lumen of the expanded flow-diverter to approximate and hold the flow diverter proximal and distal to the pseudoaneurysm. Follow-up ultrasonography revealed complete resolution of the pseudoaneurysm.

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Percutaneous Thrombin Injection of Carotid Artery Pseudoaneurysm

Abstract: Percutaneous thrombin injection may be a new and successful method of treating carotid artery pseudoaneurysms.

Cited by 39 publications

References 11 publications

Ultrasound-Guided Percutaneous Thrombin Injection of Common Carotid Pseudoaneurysm following Carotid Endarterectomy is Possible

Ultrasound-Guided Percutaneous Thrombin Injection of Common Carotid Pseudoaneurysm following Carotid Endarterectomy is Possible

Thrombin Injection Failure with Subsequent Successful Stent-Graft Placement for the Treatment of an Extracranial Internal Carotid Pseudoaneurysm in a 5-Year-Old Child

Symptomatic Post Endarterectomy Common Carotid Artery Pseudoaneurysm Treated with Combination of Flow Diverter Implantation and Carotid Stenting

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