Pseudoaneurysm after cardiac catheterization: Therapeutic interventions and their sequelae: Experience in 86 patients

Zahn, Ralf; Thoma, Sylvia; Fromm, Elke; Lotter, R.; Zander, Matthias; Seidl, Karlheinz; Senges, Jochen

doi:10.1002/(sici)1097-0304(199701)40:1<9::aid-ccd3>3.3.co;2-t

Cited by 7 publications

(10 citation statements)

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“…The incidence of femoral artery pseudoaneurysms after cardiac catheterization has been determined to be up to 1% of patients undergoing a diagnostic study (1) and to increase to 3.2% when cardiac intervention is performed (2). In addition to the presently wellestablished use of ultrasonography (US)-guided compression for pseudoaneurysm repair, thrombin injection with US guidance has been shown to be effective, with success rates of 95% (20 of 21 pseudoaneurysms) (3) to 100% (five of five pseudoaneurysms) (4).…”

mentioning

confidence: 99%

Treatment of Iatrogenic Femoral Pseudoaneurysms with Percutaneous Thrombin Injection: Experience in 54 Patients

Sheiman¹,

Brophy²

2001

Radiology

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confidence: 99%

Treatment of Iatrogenic Femoral Pseudoaneurysms with Percutaneous Thrombin Injection: Experience in 54 Patients

Sheiman¹,

Brophy²

2001

Radiology

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“…Complications of pseudoaneurysms of the femoral artery following catheterization include rupture, distal embolization, pressure on adjacent nerves and veins, and local pain. 2 Alternatives to surgical management of pseudoaneurysms have been described including compression bandage 3,4 and ultrasound-guided compression. [3][4][5][6]9,10,11 However, more recently, direct injection of thrombin into the false aneurysm sac has been described as a treatment of these…”

Section: Discussionmentioning

confidence: 99%

“…2 Although traditionally surgical repair has been performed, more recently, ultrasound-guided compression has been used to thrombose these aneurysms. [3][4][5][6][7][8][9] This is a fairly lengthy procedure and frequently painful for the patient and has variable success. However, there are now increasing case reports and small series in the literature of direct injection of thrombin into the aneurysm sac to induce thrombosis.…”

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confidence: 99%

Treatment of iatrogenic femoral artery false aneurysms with ultrasound‐guided thrombin injection

Ramsay

Marshall

2002

Australasian Radiology

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The aim of this paper is to review our results of treating iatrogenic pseudoaneurysms of the femoral artery with ultrasound-guided thrombin injection. A retrospective review was carried out of all patients referred for this procedure over a 1-year period from December 1999 to December 2000. Forty-five patients were referred and, of these, 44 were eligible for this treatment, with 300-2500 units of thrombin being injected directly into the false aneurysms under ultrasound guidance. The procedure was well tolerated with no patients requiring sedation or analgesia. There was a primary success rate of 95%, although in four of the patients, there was recurrence on repeat ultrasound performed 2-5 days post-procedure and a second injection of thrombin was required for permanent thrombosis to be achieved. No complications relating to the procedure occurred. Our results confirm increasing evidence in the published research that thrombin injection of femoral artery false aneurysms is a safe and effective treatment.

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“…Der Kompressionspunkt kann Ultraschall gesteuert optimiert werden (Abb.2). Ultraschall-gesteu- erte Kompressionen sind effektiver als alleinige Kompressionsbehandlungen (32). Alternativ kann bei kleinen Aneurysmen die Aussackung selbst komprimiert werden.…”

Section: Kompressionstherapieunclassified

Die nicht-chirurgische Therapie des iatrogenen Aneurysma spurium

Görge¹,

Kunz²,

Kirstein³

2003

Dtsch med Wochenschr

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False aneurysms occur after 0.1 - 1.5 % of all diagnostic and up to 6 % of all therapeutic percutaneous interventions. Surgery used to be the treatment of choice in symptomatic patients. But two non-invasive measures of treatment gain more attention: ultrasound guided compression (UGC) and ultrasound guided thrombin injection (UGTI). UGC with compression times from 30 - 120 min is effective in 80 % of patients without anticoagulation. However, UGC is often painful and results in prolongation of in-hospital time. UGTI is effective in 95 % of patients. Usually, 100 - 2000 U of thrombin are injected into the false aneurysm. UGTI is also effective in the presence of anticoagulation or antiplatelet therapy. UGTI is not indicated in patients with a large communication with the native vessel and in arterio-venous-fistulas. In patients with large haematomas, ongoing bleeding, damage of the native vessel, compression of arteries, veins or neurological deficits, or with infections, early surgical repair is still the treatment of choice.

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Pseudoaneurysm after cardiac catheterization: Therapeutic interventions and their sequelae: Experience in 86 patients

Cited by 7 publications

References 0 publications

Treatment of Iatrogenic Femoral Pseudoaneurysms with Percutaneous Thrombin Injection: Experience in 54 Patients

Treatment of Iatrogenic Femoral Pseudoaneurysms with Percutaneous Thrombin Injection: Experience in 54 Patients

Treatment of iatrogenic femoral artery false aneurysms with ultrasound‐guided thrombin injection

Die nicht-chirurgische Therapie des iatrogenen Aneurysma spurium

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