Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection

Endovascular treatment for post-traumatic pseudoaneurysm (PsA) has been deemed effective and minimally invasive. However, embolization of all feeding and outflow vessels is difficult if multiple fine arteriovenous fistulas (AVFs) are present. In the present case, PsA of the medial plantar artery wit...

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Main Authors: Yuta Tajima, MD, PhD, Kyosuke Kokaguchi, MD, PhD
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428720301878
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author Yuta Tajima, MD, PhD
Kyosuke Kokaguchi, MD, PhD
author_facet Yuta Tajima, MD, PhD
Kyosuke Kokaguchi, MD, PhD
author_sort Yuta Tajima, MD, PhD
collection DOAJ
description Endovascular treatment for post-traumatic pseudoaneurysm (PsA) has been deemed effective and minimally invasive. However, embolization of all feeding and outflow vessels is difficult if multiple fine arteriovenous fistulas (AVFs) are present. In the present case, PsA of the medial plantar artery with AVF was diagnosed 1 month after injury by a rusty nail. Treatment using a combination of embolization of only the main feeding artery and percutaneous thrombin injection into PsA was successful. This approach can completely resolve PsA in narrow vessels, such as in the foot, particularly when AVF is present with numerous connected vessels.
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spelling doaj.art-459c9c38802a48e39e1d18bfbdce618e2022-12-21T20:29:06ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-03-01715155Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injectionYuta Tajima, MD, PhD0Kyosuke Kokaguchi, MD, PhD1Correspondence: Yuta Tajima, MD, PhD, Department of Vascular Surgery, Osaki Citizen Hospital, 3-8-1, Honami, Furukawa, Osaki city, Miyagi prefecture 989-6183, Japan; Department of Vascular Surgery, Osaki Citizen Hospital, Miyagi, JapanDepartment of Vascular Surgery, Osaki Citizen Hospital, Miyagi, JapanEndovascular treatment for post-traumatic pseudoaneurysm (PsA) has been deemed effective and minimally invasive. However, embolization of all feeding and outflow vessels is difficult if multiple fine arteriovenous fistulas (AVFs) are present. In the present case, PsA of the medial plantar artery with AVF was diagnosed 1 month after injury by a rusty nail. Treatment using a combination of embolization of only the main feeding artery and percutaneous thrombin injection into PsA was successful. This approach can completely resolve PsA in narrow vessels, such as in the foot, particularly when AVF is present with numerous connected vessels.http://www.sciencedirect.com/science/article/pii/S2468428720301878PseudoaneurysmAVFThrombin injectionEndovascular treatmentTrauma
spellingShingle Yuta Tajima, MD, PhD
Kyosuke Kokaguchi, MD, PhD
Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
Journal of Vascular Surgery Cases and Innovative Techniques
Pseudoaneurysm
AVF
Thrombin injection
Endovascular treatment
Trauma
title Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
title_full Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
title_fullStr Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
title_full_unstemmed Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
title_short Post-traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
title_sort post traumatic pseudoaneurysm of the medial plantar artery with arteriovenous fistula treated by coil embolization of the main feeding artery and percutaneous thrombin injection
topic Pseudoaneurysm
AVF
Thrombin injection
Endovascular treatment
Trauma
url http://www.sciencedirect.com/science/article/pii/S2468428720301878
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