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.
机构:
Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Lopez-Alvarez, Jose Manuel
Perez-Quevedo, Olivia
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Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Perez-Quevedo, Olivia
Naya-Esteban, Joaquin
论文数: 0引用数: 0
h-index: 0
机构:
Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Intervent Radiol Unit, Las Palmas Gran Canaria, Spain
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Naya-Esteban, Joaquin
Ramirez-Lorenzo, Teresa
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h-index: 0
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Univ Las Palmas Gran Canaria, Dept Biostat, Unit Support Res, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Ramirez-Lorenzo, Teresa
Falcon-Gonzalez, Juan Carlos
论文数: 0引用数: 0
h-index: 0
机构:
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Falcon-Gonzalez, Juan Carlos
Lorenzo-Villegas, Dionisio Lorenzo
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Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
机构:
Univ Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, TurkeyUniv Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, Turkey
Durmaz, Hasanali
Birgi, Erdem
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h-index: 0
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Univ Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, TurkeyUniv Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, Turkey
机构:
Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Staudenmann, Dominic A.
Kaffes, Arthur J.
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Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Univ Sydney, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Kaffes, Arthur J.
Saxena, Payal
论文数: 0引用数: 0
h-index: 0
机构:
Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Univ Sydney, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Shafi, Irfan
Patel, Dhruvil Ashishkumar
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Dept Internal Med, Detroit, MI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Patel, Dhruvil Ashishkumar
Osman, Heba
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h-index: 0
机构:
New York Med Coll, Landmark Med Ctr, Dept Internal Med Pediat, Woon Socket, RI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Osman, Heba
Patel, Neel
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Dept Internal Med, Detroit, MI USA
New York Med Coll, Landmark Med Ctr, Dept Internal Med, Woon Socket, RI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Patel, Neel
Ramaseshan, Karthik
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h-index: 0
机构:
Wayne State Univ, Detroit Med Ctr, Dept Internal Med, Detroit, MI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Ramaseshan, Karthik
Goel, Mishita
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Goel, Mishita
Alraies, M. Chadi
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
机构:
Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Lopez-Alvarez, Jose Manuel
Perez-Quevedo, Olivia
论文数: 0引用数: 0
h-index: 0
机构:
Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Perez-Quevedo, Olivia
Naya-Esteban, Joaquin
论文数: 0引用数: 0
h-index: 0
机构:
Mother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Intervent Radiol Unit, Las Palmas Gran Canaria, Spain
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Naya-Esteban, Joaquin
Ramirez-Lorenzo, Teresa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Las Palmas Gran Canaria, Dept Biostat, Unit Support Res, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Ramirez-Lorenzo, Teresa
Falcon-Gonzalez, Juan Carlos
论文数: 0引用数: 0
h-index: 0
机构:
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
Falcon-Gonzalez, Juan Carlos
Lorenzo-Villegas, Dionisio Lorenzo
论文数: 0引用数: 0
h-index: 0
机构:
Fernando Pessoa Canarias Univ, Dept Clin Sci, Las Palmas Gran Canaria, SpainMother & Child Univ Hosp Canary Isl, Complejo Hosp Univ Insular Maternoinfantil Canari, Pediat Intens Care Unit, Las Palmas Gran Canaria, Spain
机构:
Univ Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, TurkeyUniv Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, Turkey
Durmaz, Hasanali
Birgi, Erdem
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, TurkeyUniv Hlth Sci, Diskapi Yildirim Beyazit Training & Res Hosp, Dep Radiol, Ankara, Turkey
机构:
Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Staudenmann, Dominic A.
Kaffes, Arthur J.
论文数: 0引用数: 0
h-index: 0
机构:
Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Univ Sydney, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Kaffes, Arthur J.
Saxena, Payal
论文数: 0引用数: 0
h-index: 0
机构:
Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
Univ Sydney, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, 50 Missenden Rd, Sydney, NSW 2050, Australia
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Shafi, Irfan
Patel, Dhruvil Ashishkumar
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Dept Internal Med, Detroit, MI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Patel, Dhruvil Ashishkumar
Osman, Heba
论文数: 0引用数: 0
h-index: 0
机构:
New York Med Coll, Landmark Med Ctr, Dept Internal Med Pediat, Woon Socket, RI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Osman, Heba
Patel, Neel
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Dept Internal Med, Detroit, MI USA
New York Med Coll, Landmark Med Ctr, Dept Internal Med, Woon Socket, RI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Patel, Neel
Ramaseshan, Karthik
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Detroit Med Ctr, Dept Internal Med, Detroit, MI USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Ramaseshan, Karthik
Goel, Mishita
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA
Goel, Mishita
Alraies, M. Chadi
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Div Cardiovasc Med, Detroit, MI 48201 USA