The management of peripheral arterial aneurysms using percutaneous injection of fibrin adhesive.

Loose, H; Haslam, Philip

doi:10.1259/bjr.71.852.10318997

Cited by 85 publications

(45 citation statements)

References 17 publications

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“…Since that time, ultrasound-guided compression (USGC) repair, ultrasound-guided thrombin injection (UGTI), and a whole host of other treatment modalities such as FemStop compression devices, 21 coil insertion, 22 fibrin adhesives, 23 or balloon occlusion have been used with variable success. The 3 most common treatment strategies are discussed below in more detail.…”

Section: Treatmentmentioning

confidence: 99%

Contemporary Management of Postcatheterization Pseudoaneurysms

et al. 2007

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Section: Treatmentmentioning

confidence: 99%

Contemporary Management of Postcatheterization Pseudoaneurysms

et al. 2007

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“…Loose and Haslam [45] described the technique of balloon tamponade of femoral artery with a percutaneous transluminal angioplasty (PTA) balloon to prevent distal embolization during pseudoaneurysm sac injection with fibrin adhesive (Beriplast P, Centeon, Marburg, Germany). The aneurysm neck is localized using angiography, and an angioplasty balloon is used to occlude the pseudoaneurysm.…”

Section: Pseudoaneurysmmentioning

confidence: 99%

Percutaneous management of access site complications

Samal

White

2002

Cathet Cardio Intervent

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Percutaneous cardiac catheterization and endovascular procedures are associated with complications at the vascular access site. While surgery has been the traditional treatment for vascular access complications, the current state of the art permits percutaneous management of many access site complications. Surgical repair may be required only when percutaneous methods fail, are not available, or are unsuitable.

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“…They used an endoluminal balloon to protect the femoral artery and injected the fibrinogen substrate first, followed by the thrombin immediately afterwards. Loose and Haslam 23 observed thrombosis in all 13 cases treated this way.…”

Section: Discussionmentioning

confidence: 81%

Percutaneous treatment of femoral pseudoaneurysms: comparison of fibrin sealant against thrombin

Pinto

Bastianetto

2013

J. vasc. bras.

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Introduction: Femoral pseudoaneurysms are a complication that occurs in connection with up to 8% of percutaneous procedures. Of the available treatments, ultrasound guided thrombin injection has a high success rate and is welltolerated by patients. The combination of thrombin and fibrinogen known as fibrin sealant forms a stable clot and can be used to treat pseudoaneurysms, particularly those with complex anatomy and larger size. Objective: To compare the results of treating femoral pseudoaneurysm in two ways: Group T was treated with thrombin alone and Group T+F was treated with fibrin sealant (thrombin+fibrinogen). Methods: A retrospective analysis was conducted of femoral pseudoaneurysm cases treated between January 2005 and December 2012. Results: Twenty-eight patients were treated, 21 with thrombin alone and seven with fibrin sealant. All patients in group T were treated successfully, but only four patients in group T+F were treated successfully (57.1% success rate in Group T+F, p<0.01). The three cases of failure in group T+F needed surgery and in one of these cases the complication was embolization to the femoral bifurcation. The pseudoaneurysms that were treated with fibrin sealant were larger (25 cm 3 in Group T and 57.7 cm 3 in Group T+F, p=0.02) and required larger volumes of thrombin (0.5 mL in Group T and 1.0 mL in Group T+F, p<0.01). There was one complication in Group T and two complications in Group T+F (p<0.01). Conclusions: Irrespective of the small number of cases reviewed, treatment with thrombin alone was superior to treating with fibrin sealant, since it caused few complications and was more effective at correcting pseudoaneurysms.

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The management of peripheral arterial aneurysms using percutaneous injection of fibrin adhesive.

Cited by 85 publications

References 17 publications

Contemporary Management of Postcatheterization Pseudoaneurysms

Contemporary Management of Postcatheterization Pseudoaneurysms

Percutaneous management of access site complications

Percutaneous treatment of femoral pseudoaneurysms: comparison of fibrin sealant against thrombin

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