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

doi:10.1007/S00270-004-0055-Z

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

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Abstract

We report a case of a radial artery pseudoaneurysm complicating an incorrect puncture of a Brescia-Cimino hemodialysis fistula that was treated with percutaneous ultrasound-guided thrombin injection. The pseudoaneurysm recurred after the initial successful thrombin injection. With a second injection we obtained permanent pseudoaneurysm occlusion. Our case illustrates that this procedure is an effective treatment in this type of arteriovenous fistula complication. We compare this case with the only similar one we could find in the literature.

Authors:

Corso, Rocco, E-mail: roccocorso@jumpy.it; Rampoldi, Antonio ^[1]; Vercelli, Ruggero; Leni, Davide ^[2]; Vanzulli, Angelo ^[1]

Niguarda 'Ca Granda' Hospital, Department of Diagnostic and Interventional Radiology (Italy)
University of Milan, Institute of Radiology (Italy)

Publication Date:: Wed Feb 15 00:00:00 EST 2006

OSTI Identifier:: 21091289

Resource Type:: Journal Article

Resource Relation:: Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 29; Journal Issue: 1; Other Information: DOI: 10.1007/s00270-004-0055-z; Copyright (c) 2006 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; INJECTION; PATIENTS; REPAIR; THROMBIN; VASCULAR DISEASES

Citation Formats


                    Corso, Rocco, E-mail: roccocorso@jumpy.it, Rampoldi, Antonio, Vercelli, Ruggero, Leni, Davide, and Vanzulli, Angelo. Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection.  United States: N. p., 2006. 
        Web.  doi:10.1007/S00270-004-0055-Z.

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                    Corso, Rocco, E-mail: roccocorso@jumpy.it, Rampoldi, Antonio, Vercelli, Ruggero, Leni, Davide, & Vanzulli, Angelo. Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection.  United States.  doi:10.1007/S00270-004-0055-Z.

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                    Corso, Rocco, E-mail: roccocorso@jumpy.it, Rampoldi, Antonio, Vercelli, Ruggero, Leni, Davide, and Vanzulli, Angelo. Wed .  
        "Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection".  United States.  
        doi:10.1007/S00270-004-0055-Z.

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@article{osti_21091289,

  title        = {Percutaneous Repair of Radial Artery Pseudoaneurysm in a Hemodialysis Patient Using Sonographically Guided Thrombin Injection},

  author       = {Corso, Rocco, E-mail: roccocorso@jumpy.it and Rampoldi, Antonio and Vercelli, Ruggero and Leni, Davide and Vanzulli, Angelo},

  abstractNote = {We report a case of a radial artery pseudoaneurysm complicating an incorrect puncture of a Brescia-Cimino hemodialysis fistula that was treated with percutaneous ultrasound-guided thrombin injection. The pseudoaneurysm recurred after the initial successful thrombin injection. With a second injection we obtained permanent pseudoaneurysm occlusion. Our case illustrates that this procedure is an effective treatment in this type of arteriovenous fistula complication. We compare this case with the only similar one we could find in the literature.},

  doi          = {10.1007/S00270-004-0055-Z},

  journal      = {Cardiovascular and Interventional Radiology},

  number       = 1,

  volume       = 29,

  place        = {United States},

  year         = {Wed Feb 15 00:00:00 EST 2006},

  month        = {Wed Feb 15 00:00:00 EST 2006}

}

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DOI: 10.1007/S00270-004-0055-Z

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CT-Guided Percutaneous Thrombin Injection for Treatment of an Inferior Pancreaticoduodenal Artery Pseudoaneurysm

Williams, Marc ; Alderson, Derek ; Virjee, Jim ; ... - Cardiovascular and Interventional Radiology

We present a case of an inferior pancreaticoduodenal artery pseudoaneurysm treated by computed tomography (CT)-guided percutaneous injection of thrombin. As far as we are aware, we present the first documented case of successful long-term (9 months) follow-up with no evidence of recurrence.
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Thrombin Injection for Treatment of Brachial Artery Pseudoaneurysm at the Site of a Hemodialysis Fistula: Report of Two Patients

Clark, Timothy W.I. ; Abraham, Robert J. - Cardiovascular and Interventional Radiology

We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoanerysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, an angioplasty balloon was inflated across the neck of the aneurysm during thrombin injection. In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries.
DOI: 10.1007/S002700010091
Femoral Artery Thrombosis Following Percutaneous Treatment with Thrombin Injection of a Femoral Artery Pseudoaneurysm: A Case Report

Bhat, Rajesh, E-mail: raj.bhat@tuht.scot.nhs.uk ; Chakraverty, Sam - Cardiovascular and Interventional Radiology

No abstract prepared.
DOI: 10.1007/S00270-007-9024-7
Postpyelolithotomy Renal Artery Pseudoaneurysm Management with Percutaneous Thrombin Injection: A Case Report

Gupta, Vivek, E-mail: vivek_gupta21@hotmail.com ; Galwa, Ramprakash ; Khandelwal, N. ; ... - Cardiovascular and Interventional Radiology

Renal artery pseudoaneurysm leading to life-threatening hematuria can occur after a surgical procedure such as pyelolithotomy, albeit rarely. With recent advances in transarterial embolization techniques, this minimally invasive procedure has become the treatment of choice, replacing surgery. We present a case of massive hematuria due to renal artery pseudoaneurysm developing after pyelolithotomy that was managed with percutaneus thrombin injection directly into the pseudoaneurysm.
DOI: 10.1007/S00270-007-9194-3
Percutaneous Thrombin Injection of a Femoral Artery Pseudoaneurysm with Simultaneous Venous Balloon Occlusion of a Communicating Arteriovenous Fistula

Mittleider, Derek, E-mail: mittld@mmc.org ; Cicuto, Kenneth ; Dykes, Thomas - Cardiovascular and Interventional Radiology

An 82-year-old woman developed acute occlusion of her right coronary artery. She underwent percutaneous coronary stent placement and aortic balloon pump installation. In the postprocedural period, she developed a common femoral artery pseudoaneurysm (PSA) that communicated with the common femoral vein via an arteriovenous fistula (AVF). After unsuccessful ultrasound-guided compression, ultrasound-guided thrombin injection of the PSA was performed, with simultaneous balloon occlusion of the common femoral vein at the level of the AVF. There was complete thrombosis of the PSA and AVF.
DOI: 10.1007/S00270-007-9200-9