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DOI: 10.1055/s-0031-1295521
© Thieme Medical Publishers
Treatment of Iatrogenic Pseudoaneurysms Using Ultrasound-Guided Thrombin Injection over a 5-Year Period
Publication History
Publication Date:
09 November 2011 (online)
ABSTRACT
In this study we demonstrate that ultrasound (US)-guided injection of thrombin is a safe and effective way to treat iatrogenic pseudoaneurysms as a new treatment modality at a 650-bed urban community hospital. We included retrospective chart review of patients who were treated for iatrogenic pseudoaneurysms from January 2004 to June 2010 at a single institution. All patients' pseudoaneurysms were treated using US-guided thrombin injection. This study demonstrated an overall success rate of 97.1% in treating iatrogenic pseudoaneurysms in 33 of 34 patients. One patient underwent open surgical repair. No mortality or complications were noted. The study was successful in demonstrating that the US-guided injection of thrombin is an efficacious way to treat iatrogenic pseudoaneurysms and can be safely implemented as a new treatment modality by appropriately trained vascular surgeons. A review of different techniques is included. An algorithm for the treatment of iatrogenic pseudoaneurysms is proposed from this study.
KEYWORDS
Pseudoaneurysm - ultrasound-guided thrombin injection - false aneurysm
REFERENCES
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Randall W. FranzM.D. F.A.C.S. R.V.T.
Chief, Vascular Surgery; Medical Director, Grant Vascular & Vein Center Vascular & Endovascular Surgery, Central Ohio Vascular Services
285 East State Street, Suite 260, Columbus, OH 43215
Email: rfranz2@ohiohealth.com