Successful balloon assisted percutaneous thrombin injection of right subclavian artery pseudoaneurysm

被引：3

作者：

Brown, Andrew D. ^{[1
]}

Hirpara, Dhruvin H. ^{[2
]}

Jaberi, Arash ^{[1
]}

Oreopoulos, George D. ^{[1
,3
]}

Simons, Martin E. ^{[1
]}

机构：

[1] Univ Toronto, Univ Hlth Network, Toronto Gen Hosp, Div Vasc & Intervent Radiol,Dept Med Imaging, Toronto, ON, Canada

[2] Univ Toronto, Fac Med, Toronto, ON, Canada

[3] Univ Toronto, Univ Hlth Network, Toronto Gen Hosp, Div Vasc Surg,Dept Surg, Toronto, ON, Canada

来源：

JOURNAL OF VASCULAR ACCESS | 2017年 / 18卷 / 05期

关键词：

Complications; Occluding balloon; Pseudoaneurysm; Subclavian artery; Thrombin injection; Ultrasonography;

D O I：

10.5301/jva.5000694

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Purpose: To report the use of a balloon catheter to facilitate percutaneous ultrasound-guided thrombin injection of a subclavian artery pseudoaneurysm. Case report: A 36-year-old man presented with hoarseness after the insertion of a right temporary internal jugular line. Arteriography showed a short neck right subclavian artery pseudoaneurysm. A 6 mm x 40 mm balloon catheter was positioned across the neck of the pseudoaneurysm to permit percutaneous ultrasound-guided thrombin injection. Immediate post-treatment angiogram demonstrated no filling of the pseudoaneurysm. Seven-month clinical and imaging follow-up confirmed resolution of the pseudoaneurysm and hoarseness. Conclusions: This clinical vignette highlights the potential of balloon catheter-assisted percutaneous ultrasound-guided thrombin injection as an alternative to open or endovascular repair of pseudoaneurysms of the subclavian arteries.

引用

页码：E62 / E65

页数：4

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