Thromboembolism Complicating Thrombin Injection of Femoral Artery Pseudoaneurysm: Management with Intraarterial Thrombolysis

Sadiq, Sobia; Ibrahim, Waleed

doi:10.1016/s1051-0443(07)61490-0

Cited by 66 publications

(25 citation statements)

References 14 publications

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“…However, injection into the tract should be avoided, because arterial thrombosis, although not reported in this series, is a potential complication if inadvertent injection into the artery occurs. Peripheral vessel occlusion is a rare but severe complication after thrombin injection [29][30][31]. Therapeutic options consist in acute thrombolysis, thrombectomy or bypass surgery [1].…”

Section: Methodological Aspectsmentioning

confidence: 99%

A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms

Schneider¹,

Malisius²,

Kuchler³

et al. 2009

International Journal of Cardiology

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Section: Methodological Aspectsmentioning

confidence: 99%

A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms

Schneider¹,

Malisius²,

Kuchler³

et al. 2009

International Journal of Cardiology

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“…Most investigators use a concentration of 1000 IU/mL (10,21,37,40,45). However, some authors advocate the use of a lower concentration of 100 IU/mL (47).…”

Section: Us-guided Percutaneous Thrombin Injectionmentioning

confidence: 99%

Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management

et al. 2005

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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.

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“…We reviewed 19 studies with a total of 2078 patients to assess complication rates and outcomes. Serious complications were reported in 1.1% of patients with 18 (0.8%) thromboembolic events, four (0.2%) instances of venous thrombosis, one iliac artery pseudoaneurysm rupture and one case of anaphylaxis [2,4,13,[16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][32]. All complications other than the pseudoaneurysm rupture were managed successfully without long-term sequelae.…”

Section: Discussionmentioning

confidence: 99%

Cardiologist Operated Ultrasound Guided Thrombin Injection as a Safe and Efficacious First Line Treatment for Iatrogenic Femoral Artery Pseudoaneurysms

Chen¹,

Sammel²,

Jain³

et al. 2015

Heart, Lung and Circulation

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Thromboembolism Complicating Thrombin Injection of Femoral Artery Pseudoaneurysm: Management with Intraarterial Thrombolysis

Cited by 66 publications

References 14 publications

A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms

A prospective study on ultrasound-guided percutaneous thrombin injection for treatment of iatrogenic post-catheterisation femoral pseudoaneurysms

Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management

Cardiologist Operated Ultrasound Guided Thrombin Injection as a Safe and Efficacious First Line Treatment for Iatrogenic Femoral Artery Pseudoaneurysms

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