Percutaneous thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms: A case for caution

被引：9

作者：

Ohlow, Marc-Alexander ^{[1
]}

Secknus, Maria-Anna ^{[1
]}

von Korn, Hubertus ^{[1
]}

Weiss, Reginald ^{[2
]}

Lauer, Bernward ^{[1
]}

机构：

[1] Zentralklin, Kardiol Klin, D-99437 Bad Berka, Germany

[2] Zentralklin, Klin Angiol, D-99437 Bad Berka, Germany

来源：

ANGIOLOGY | 2008年 / 59卷 / 03期

关键词：

cardiac catheterization; pseudoaneurysm; femoral artery; thrombin injection;

D O I：

10.1177/0003319707304575

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The case of a patient who developed a femoral artery pseudoaneurysm following cardiac catheterization is described. After 2 failed attempts of ultrasound-guided compression repair, the patient underwent percutaneous thrombin injection with, beside of complete closure of the pseudoaneurysm, a severe limb ischemia due to distal thrombin migration with consecutive clot formation finally resulting in thigh amputation of the affected leg. Indications, advantages, and disadvantages of various options for the treatment of iatrogenic femoral artery pseudoaneurysms (vascular surgery, ultrasound-guided compression, percutaneous thrombin injection, and other nonsurgical treatment modalities), as well as risk factors for distal migration of liquid thrombin after percutaneous injection, are discussed in this report.

引用

页码：372 / 375

页数：4

共 24 条

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