New aspects in ultrasound-guided compression repair of postcatheterization femoral artery injuries.

Schaub, F; Theiss, W; Heinz, Michael; Zagel, M; Schömig, Albert

doi:10.1161/01.cir.90.4.1861

Cited by 93 publications

(52 citation statements)

References 19 publications

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“…Management options for pseudoaneurysm include conservative measures with or without sonographically guided compression therapy [10,11], surgical repair [12], transarterial coil embolization [13] and percutaneous thrombin or alcohol injection [14]. There is no standard treatment protocol because of the rarity of neck pseudoaneurysm and the adequate treatment should be determined on case-by-case basis.…”

Section: Discussionmentioning

confidence: 99%

Superior Thyroid Artery Pseudoaneurysm as a Complication of Transesophageal Echocardiography

Canevari¹,

Galla²,

Aina³

et al. 2015

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The pseudo-aneurysm is a hematoma of post-traumatic origin, and capsulated button which is in communication with the lumen of the artery of relevance. Singular occurrence in the district ENT, if not recognized early the pseudo-aneurysm can result in dramatic events such cataclysmic bleeding or acute occlusion of the upper airway. In literature there are outstanding references to the pseudo-aneurysm of the superior thyroid (ATS). We present a rare case of pseudo-aneurysm occurred after the ATS trans-esophageal echocardiography (TEE) and external cardioversion. KeywordsPseuduoaneurysm; ENT Complication; Endovascular Coil Embolization homogeneously enhancing mass, 9.5 x 3.2 cm diameter in left neck spaces extending superiorly to parapharyngeal spaces, inferiorly to hypopharynx displacing hyoid bone , thyroid cartilage, posterior to crycoid cartilage displacing cervical esophagus and laterally to subcutaneous tissue displacing sternocleidomastoid muscle (Figure 1). The mass was suggestive for hematoma. The angiography revealed a pseudoaneurysm with active bleeding of the terminal tract of superior thyroid artery (STA) (Figure 2). An endovascular procedure was performed with a superselctive microcateter and a endovascular occlusion by coil embolizzation of STA with exclusion of the pseudoaneurysm demonstrated at the end of the procedure (Figure 3). The symptoms resolved after one day from the endovascular procedure. The patient was discharged after two days without evidence of bleeding and an endoscopic control after 4 weeks revealed a disappearance of swelling. DiscussionPseudoaneurysm, also called "false aneurysm", is an 2/3A fast development of an expanding mass under the angle of the mandible or in lateral pharyngeal wall after surgical procedure of the neck, percutaneous biopsy and neck trauma should always raise the suspect of an extra cranial arterial pseudoaneurysm.In our knowledge only three cases of pseudoaneurysm of superior thyroid artery have been reported previously. The first case was a pseudoaneurysm occurred after ultrasonographically guided chemical parathyriodectomy [15]. The diagnosis was made by angiography and treated by selective coil embolization. The second case reported a pseudoaneurysm occurred in a patient with hypopharyngeal squamous cell carcinoma during simultaneous radiotherapy and chemotherapy [13]. The diagnosis was made by a CT scan and treated by selective coil embolization. The third case reported a pseudoaneurysm after ultrasonographically guided biopsy of a thyroid nodule [10]. The diagnosis was made after ultrasonography and color Doppler examination and treated waiting spontaneous thrombosis.In our patient the pseudoaneurysm occurred after a transesophageal echocardiography guided cardioversion (TEEguided). The diagnosis was made by a computed tomography scan and treated by selective coil embolization. Transesophageal echocardiography guided cardioversion with short-term anticoagulation can be considered a safe and clinically effective for patients with atrial fibrill...

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Section: Discussionmentioning

confidence: 99%

Superior Thyroid Artery Pseudoaneurysm as a Complication of Transesophageal Echocardiography

Canevari¹,

Galla²,

Aina³

et al. 2015

JOENTR

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“…Besides surgery, occlusion via ultrasound-guided compression [51] or covered-stent-implantation [52] has also been reported. Case-reports are available describing the successful utilisation of N-butyl-cyanoacrylate in the closure of AVFs [53].…”

Section: Treatmentmentioning

confidence: 99%

Vascular puncture site complications - diagnosis, therapy, and prognosis

Mlekusch

Sabeti-Sandor

2016

Vasa

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Summary:The numbers of endovascular procedures have been noted to substantially increase over the past two decades. Besides all the technical advances and the increasing skills of more and more trained interventionists, the vascular access site still offers the possibilities and carries the risk of access site complications, which have not been changed dramatically over the past years. Guidelines on the vascular puncture procedure itself are lacking. Complications at different vascular access sites presentclinically different, require different diagnostic work up and therapy. The aim of the following review is to systematically list the most likely vascular access site complications their diagnosis and if necessary the proper treatment.

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“…Application of good external compression after sheath removal, selecting a small-bore introducer and sheath removal at a low activated clotting time (<200 sec) are important factors preventing pseudoaneurysm. Ultrasonography guided compression of the communicating canal of the pseudoaneurysm stops the blood flow and leads to clotting and obliteration with a success rate of 84-93% in patients without anticoagulation (Lange et al 2001, Gabriel et al 2007, Schaub et al 1994. Ultrasound-guided thrombin injection is another effective means with a success rate of 97-100% (Schneider et al 2009, Weinmann et al 2002.…”

Section: Pseudoaneurysmmentioning

confidence: 99%