Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms
Purpose To report our clinical experience of thrombin injection for iatrogenic pseudoaneurysms of peripheral arteries with or without balloon dilatation and coil embolization as adjunctive techniques. Materials and Methods A total of 10 patients undergoing thrombin injection for iatrogenic pseudoa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2019-09-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2019.80.5.896 |
| _version_ | 1811249364486586368 |
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| author | Sohee Park Ji Hoon Shin Gi-Young Ko Dong Il Gwon Heung Kyu Ko Jong Woo Kim |
| author_facet | Sohee Park Ji Hoon Shin Gi-Young Ko Dong Il Gwon Heung Kyu Ko Jong Woo Kim |
| author_sort | Sohee Park |
| collection | DOAJ |
| description | Purpose To report our clinical experience of thrombin injection for iatrogenic pseudoaneurysms of peripheral arteries with or without balloon dilatation and coil embolization as adjunctive techniques.
Materials and Methods A total of 10 patients undergoing thrombin injection for iatrogenic
pseudoaneurysms from September 2007 to June 2017 were retrospectively investigated. The
causative procedures, location of pseudoaneurysms, and complications were recorded, and
technical and clinical success rates of the treatment were assessed.
Results The femoral and brachial arteries were treated in eight and two patients, respectively.
Technical success was confirmed in all cases, and a clinical success rate was 70% (7/10) was
noted. Two patients presented with a complication of acute thrombosis at the distal arteries. In
7 patients, balloon occlusion was performed before injection of thrombin to prevent the spread
of thrombin. Coil embolization of the distal branch was also performed in one of these patients.
Conclusion For pseudoaneurysms of the femoral and brachial arteries that develop after various vascular procedures, thrombin injection is a safe and efficient treatment choice. In some
cases, where there is concern for thrombin leakage, balloon occlusion and coil embolization
could be performed together. |
| first_indexed | 2024-04-12T15:45:14Z |
| format | Article |
| id | doaj.art-397544165ff04320a8b85f4a5166cb62 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-04-12T15:45:14Z |
| publishDate | 2019-09-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-397544165ff04320a8b85f4a5166cb622022-12-22T03:26:40ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282019-09-01805896905https://doi.org/10.3348/jksr.2019.80.5.896Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic PseudoaneurysmsSohee Park0Ji Hoon Shin1Gi-Young Ko2Dong Il Gwon3Heung Kyu Ko4Jong Woo Kim5Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaPurpose To report our clinical experience of thrombin injection for iatrogenic pseudoaneurysms of peripheral arteries with or without balloon dilatation and coil embolization as adjunctive techniques. Materials and Methods A total of 10 patients undergoing thrombin injection for iatrogenic pseudoaneurysms from September 2007 to June 2017 were retrospectively investigated. The causative procedures, location of pseudoaneurysms, and complications were recorded, and technical and clinical success rates of the treatment were assessed. Results The femoral and brachial arteries were treated in eight and two patients, respectively. Technical success was confirmed in all cases, and a clinical success rate was 70% (7/10) was noted. Two patients presented with a complication of acute thrombosis at the distal arteries. In 7 patients, balloon occlusion was performed before injection of thrombin to prevent the spread of thrombin. Coil embolization of the distal branch was also performed in one of these patients. Conclusion For pseudoaneurysms of the femoral and brachial arteries that develop after various vascular procedures, thrombin injection is a safe and efficient treatment choice. In some cases, where there is concern for thrombin leakage, balloon occlusion and coil embolization could be performed together.https://doi.org/10.3348/jksr.2019.80.5.896aneurysmfalsethrombinballoon occlusion |
| spellingShingle | Sohee Park Ji Hoon Shin Gi-Young Ko Dong Il Gwon Heung Kyu Ko Jong Woo Kim Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms 대한영상의학회지 aneurysm false thrombin balloon occlusion |
| title | Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms |
| title_full | Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms |
| title_fullStr | Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms |
| title_full_unstemmed | Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms |
| title_short | Percutaneous Thrombin Injection for the Treatment of Post-Procedural Iatrogenic Pseudoaneurysms |
| title_sort | percutaneous thrombin injection for the treatment of post procedural iatrogenic pseudoaneurysms |
| topic | aneurysm false thrombin balloon occlusion |
| url | https://doi.org/10.3348/jksr.2019.80.5.896 |
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