Percutaneous Cyanoacrylate Glue Embolization for Peripheral Pseudoaneurysms: An Alternative Treatment

Mittal, Rohin; Stephen, Edwin; Keshava, Shyamkumar N.; Moses, Vinu; Agarwal, Sunil

doi:10.1007/s12262-012-0456-1

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…Both thrombin and cyanoacrylate glue (N-butyl-2cyanoacrylate) have been used successful as arterial embolic agent for endovascular treatment of pseudoaneurysms. 6,7 2. It can be easily diagnosed at bedside using ultrasonography, a color Doppler, and spectral Doppler examination.…”

Section: Discussionmentioning

confidence: 99%

A 54-Year-Old Man With Neck Swelling, Respiratory Distress, and Hoarseness

Dhungana

Bom

Niroula

et al. 2018

Chest

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A 54-year-old man, a known case of chronic kidney disease, presented to the ED with rapidly enlarging diffuse neck swelling on the right side (Fig 1A), respiratory distress, and hoarseness of the voice. On examination, there was a diffuse swelling on the right side of the neck and the trachea was pushed to the left. An inspiratory stridor was audible on auscultation. A week prior to presentation, he had undergone right internal jugular vein cannulation for a dialysis catheter placement. An ultrasonography examination of the neck was carried out in the ED which revealed an anechoic lesion measuring 40 Â 30 Â 20 mm with a 2-mm defect at the neck and a communication with right subclavian artery (Fig 1B). On color Doppler study, there was bidirectional blood flow in the lesion (Fig 1C). Spectral Doppler in the region of the defect showed biphasic reciprocating arterial waveforms (Fig 1D).

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Section: Discussionmentioning

confidence: 99%

A 54-Year-Old Man With Neck Swelling, Respiratory Distress, and Hoarseness

Dhungana

Bom

Niroula

et al. 2018

Chest

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“…If their size is smaller than 1 cm and the patient asymptomatic, no treatment is needed and US follow-up is sufficient [4]. Otherwise, 35 minutes US-guided compression, compression bandage, and US-guided injection of thrombin are all minimally invasive, easy to perform and inexpensive techniques [567].…”

Section: Discussionmentioning

confidence: 99%

Two Rare Cases of Posttraumatic Peripheral Artery Pseudoaneurysm

Elens

Bossu

Puech

et al. 2016

Journal of the Belgian Society of Radiology

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Posttraumatic pseudoaneurysms of the lower limb are increasingly recognized due to the development of cross-sectional imaging. Two cases of anterior tibial artery pseudoaneurysm after blunt trauma are presented. The diagnostic technique of choice is Doppler ultrasound (US). In some cases, computed tomography angiography (CTA) or magnetic resonance angiography (MRA) is needed to identify the feeding vessel. The treatment of choice is not yet determined. Ultrasound-guided thrombin injection is widely used as first-line treatment, but some cases are refractory to this treatment. Further investigation and optimization of therapeutic technique to definitely exclude the pseudoaneurysm from the circulation may result in faster and more cost-effective treatment than US-guided thrombin injection.

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“…29 Injection of cyanoacrylate glue has been demonstrated as a viable technique for management of visceral artery aneurysms and has since been shown to be safe and efficacious in small trials for femoral artery pseudoaneurysms after percutaneous access. 30,31 However, opponents argue that such techniques are not as cost-effective and they may serve as a nidus for infection. Percutaneous coil embolization too has been demonstrated as a safe, effective alternative 32 but is subject to similar criticism.…”

Section: Alternativesmentioning

confidence: 99%

Ultrasound-guided percutaneous thrombin injection following iatrogenic femoral artery pseudoaneurysm: patient selection and perspectives

Sizemore¹,

Ayubi²,

Clark³

et al. 2018

JVD

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Ultrasound-guided percutaneous thrombin injection (UGTI) following iatrogenic femoral artery pseudoaneurysms has been the standard of care as first-line treatment at many institutions since its initial description by Liau et al in 1997. UGTI underwent rapid adoption given its significant advantages to patients including shorter procedure times, decreased discomfort, lower rates of recurrence, and the avoidance of surgical intervention in appropriate cases. Despite the availability of less-invasive approaches, through numerous head-to-head studies, UGTI has demonstrated clear benefit over ultrasound-guided compression in the treatment of iatrogenic femoral artery pseudoaneurysms. Although newer interventions such as percutaneous coil embolization have attracted attention for their superior ability to manage those patients with high-level anticoagulation or allergies to thrombin, at this time they do not provide an equal alternative to thrombin injection. In this review, we focus on issues related to the selection of patients who benefit from UGTI for the treatment of iatrogenic pseudoaneurysms.

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Percutaneous Cyanoacrylate Glue Embolization for Peripheral Pseudoaneurysms: An Alternative Treatment

Cited by 10 publications

References 15 publications

A 54-Year-Old Man With Neck Swelling, Respiratory Distress, and Hoarseness

A 54-Year-Old Man With Neck Swelling, Respiratory Distress, and Hoarseness

Two Rare Cases of Posttraumatic Peripheral Artery Pseudoaneurysm

Ultrasound-guided percutaneous thrombin injection following iatrogenic femoral artery pseudoaneurysm: patient selection and perspectives

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