Outcomes of Ultrasound-Guided Thrombin Injection of Nongroin Arterial Pseudoaneurysms

被引:8
作者
Valesano, Johnathan C. [1 ]
Schmitz, John J. [1 ]
Kurup, A. Nicholas [1 ]
Schmit, Grant D. [1 ]
Moynagh, Michael R. [1 ]
Atwell, Thomas D. [1 ]
Lewis, Bradley D. [1 ]
Lee, Robert A. [1 ]
Callstrom, Matthew R. [1 ]
机构
[1] Mayo Clin, Dept Radiol, 200 First St SW, Rochester, MN 55905 USA
关键词
POSTCATHETERIZATION PSEUDOANEURYSMS; TRANSFEMORAL APPROACH; ANGIOGRAPHY; ANGIOPLASTY; ANEURYSMS; ACCESS;
D O I
10.1016/j.jvir.2017.05.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To evaluate success and complication rates of percutaneous ultrasound-guided thrombin injection of nongroin pseudoaneurysms (PSAs). Materials and Methods: Retrospective review of a prospectively maintained institutional database yielded 39 cases of arterial PSAs occurring at nongroin sites that were treated with percutaneous ultrasound-guided thrombin injection between 2000 and 2016 (average patient age 69.2 y +/- 14.0). Of PSAs, 74.4% (29/39) arose in the upper extremities, and 92.3% (36/39) were iatrogenic. The brachial artery was the most commonly affected vessel (51.3% [20/39]), and arterial access was the most common cause (56.4% [22/39]). Average overall PSA size was 2.4 cm (range, 0.5-7.2 cm); average amount of thrombin injected was 320 IU (range, 50-2,000 IU). Technical success was defined as absence of flow within the PSA immediately after thrombin injection. Treatment success was defined as sustained thrombosis on follow-up imaging obtained at 1-3 days after treatment. Results: Technical and treatment success rates of thrombin injections were 100% (39/39) and 84.8% (28/33), respectively. Longer term follow-up imaging (average 71 d; range, 12-201 d) was available for 7 of the treatment successes with 100% (7/7) showing sustained thrombosis. Comparing treatment successes and failures, there was no significant difference in average PSA size (2.3 cm vs 2.0 cm, P = .51) or average amount of thrombin injected (360 IU vs 180 IU, P = .14). There were no complications. Conclusions: Ultrasound-guided thrombin injection is a safe, efficacious treatment option for PSAs arising in nongroin locations.
引用
收藏
页码:1156 / 1160
页数:5
相关论文
共 50 条
  • [41] Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model
    Lopez-Alvarez, Jose Manuel
    Perez-Quevedo, Olivia
    Naya-Esteban, Joaquin
    Ramirez-Lorenzo, Teresa
    Falcon-Gonzalez, Juan Carlos
    Lorenzo-Villegas, Dionisio Lorenzo
    [J]. JOURNAL OF ULTRASOUND, 2022, 25 (02) : 199 - 205
  • [42] Flow Reduction-Aided Thrombin Injection for Complex Femoral Pseudoaneurysms: Case Series and Review of the Literature
    Menon, Nandakumar
    Drucker, Charles B.
    Bhardwaj, Abhishek
    Kalsi, Richa
    Crawford, Robert S.
    Sarkar, Rajabrata
    Toursavadkohi, Shahab
    [J]. ANNALS OF VASCULAR SURGERY, 2018, 46 : 367.e1 - 367.e6
  • [43] Embolisation of a Left Gastric Artery Pseudoaneurysm by Transcatheter Thrombin Injection Guided by Fluoroscopy and Doppler Ultrasound
    Tan, C. K. F.
    H'ng, M. W. C.
    O'Donnell, J. L.
    Cho, T. H.
    Dennien, B.
    [J]. HONG KONG JOURNAL OF RADIOLOGY, 2014, 17 (01): : 41 - 44
  • [44] Ultrasound-guided epidural blood patch
    Gnaho, Alexandre
    Nguyen, Vinh
    des Deserts, Marc Danguy
    Bonnet, Francis
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (02) : 221 - 222
  • [45] Endoscopic ultrasound-guided biliary interventions
    Madhu, Deepak
    Dhir, Vinay
    [J]. INDIAN JOURNAL OF GASTROENTEROLOGY, 2024, 43 (05) : 943 - 953
  • [46] A promising method for the salvage of thrombosed native hemodialysis fistulas: percutaneous ultrasound-guided thrombolytic injection
    Durmaz, Hasanali
    Birgi, Erdem
    [J]. TURKISH JOURNAL OF MEDICAL SCIENCES, 2019, 49 (04) : 1179 - 1184
  • [47] Assessment of ultrasound-guided procedures in preclinical years
    Amini, Richard
    Stolz, Lori Ann
    Breshears, Elliot
    Patanwala, Asad E.
    Stea, Nicholas
    Hawbaker, Nicolaus
    Thompson, Matthew
    Sanders, Arthur Barry
    Adhikari, Srikar
    [J]. INTERNAL AND EMERGENCY MEDICINE, 2017, 12 (07) : 1025 - 1031
  • [48] Effects of ultrasound-guided techniques for radial arterial catheterization: A meta-analysis of randomized controlled trials
    Zhao, Wenli
    Peng, Huizhen
    Li, Haiyun
    Yi, Yinping
    Ma, Yufeng
    He, Yingkun
    Zhang, Hongmei
    Li, Tianxiao
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2021, 46 : 1 - 9
  • [49] Endoscopic Ultrasound-Guided Vascular Procedures: A Review
    Staudenmann, Dominic A.
    Kaffes, Arthur J.
    Saxena, Payal
    [J]. CLINICAL ENDOSCOPY, 2020, 53 (05) : 519 - 524
  • [50] Outcomes of Intravascular Ultrasound-Guided Percutaneous Coronary Intervention Among Patients With Acute Coronary Syndrome
    Shafi, Irfan
    Patel, Dhruvil Ashishkumar
    Osman, Heba
    Patel, Neel
    Ramaseshan, Karthik
    Goel, Mishita
    Alraies, M. Chadi
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2023, 204 : 115 - 121