Ultrasound-guided thrombin injection in the treatment of iatrogenic arterial pseudoaneurysms: Single-center experience

• Published in: Journal of clinical ultrasound Vol. 42; no. 1; pp. 24 - 26
• Main Authors: Kleczynski, Paweł, Rakowski, Tomasz, Dziewierz, Artur, Jakala, Jacek, Dudek, Dariusz
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.01.2014; Wiley Subscription Services, Inc
• Subjects: Aged; Aged, 80 and over; Aneurysm, False - diagnostic imaging; Aneurysm, False - drug therapy; Aneurysm, False - etiology; arterial pseudoaneursym; Brachial Artery - diagnostic imaging; Catheterization, Peripheral - adverse effects; Doppler effect; Female; Femoral Artery - diagnostic imaging; Follow-Up Studies; Hemostatics - administration & dosage; Hemostatics - therapeutic use; Humans; Iatrogenic Disease; Injections, Intra-Arterial; Male; Middle Aged; Peripheral Arterial Disease - diagnostic imaging; Peripheral Arterial Disease - drug therapy; Peripheral Arterial Disease - etiology; Radial Artery - diagnostic imaging; Retrospective Studies; Thrombin - administration & dosage; Thrombin - therapeutic use; thrombin injection; Treatment Outcome; Ultrasonic imaging; Ultrasonography, Doppler, Color; Ultrasonography, Interventional; ultrasound; ultrasound-guided intervention; arterial pseudoaneursym; ultrasound-guided intervention; ultrasound; thrombin injection
• ISSN: 0091-2751; 1097-0096; 1097-0096
• DOI: 10.1002/jcu.22106

ABSTRACT The aim of this study was to assess the safety and efficacy of ultrasound‐guided percutaneous thrombin injection for the treatment of postcatheterization arterial pseudoaneurysms. We evaluated retrospectively 82 consecutive subjects treated with percutaneous ultrasound‐guided thrombin injection of postcatheterization femoral (n = 79), brachial (n = 2), and radial (n = 1) pseudoaneurysms from January 2006 to April 2012. Pseudoaneurysm size, thrombin dose, and therapy outcome were documented. All pseudoaneurysm sacs were thrombosed with a single injection. The overall primary success rate (complete sac thrombosis) was 92.7%. A 30‐day Doppler ultrasound follow‐up showed a 100% procedural success. There were no complications. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:24–26, 2014