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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Format: | Article |
Language: | English |
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Elsevier
2021-03-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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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. |
first_indexed | 2024-12-19T08:33:38Z |
format | Article |
id | doaj.art-459c9c38802a48e39e1d18bfbdce618e |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-19T08:33:38Z |
publishDate | 2021-03-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
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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