Thrombininjektion in der Behandlung des iatrogenen Aneurysma spurium

Quendt, J.; Nöldeke, Stefan; Hupp, T.

doi:10.1007/s00772-002-0220-0

Cited by 5 publications

(2 citation statements)

References 22 publications

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“… 17 According to Steinkamp et al 16 , pseudoaneurysms that did not require surgical treatment were also classified as a minor complication and could be treated by a targeted ultrasound-guided compression or thrombin injection. 18 , 19 A comparison with other closure systems shows similar rates of minor complications.…”

Section: Discussionmentioning

confidence: 88%

Percutaneous Vascular Closure System Based on an Extravascular, Bioabsorbable Polyglycolic Plug (ExoSeal): Results from 1000 Patients

Kamusella

Wissgott

Jahnke

et al. 2014

Clin Med Insights Cardiol

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PURPOSEThe objective of this prospective study was to evaluate the effectiveness and safety of a percutaneous closure system based on a polyglycolic acid plug for achieving hemostasis.MATERIAL AND METHODSIn this study from 2011 to 2014, a percutaneous vascular closure system (ExoSeal) was used in 1000 patients (mean age 70.6 ± 10.2 years), using antegrade and retrograde techniques within the context of an angiographic intervention. The system was used in conjunction with transfemoral approaches with a sheath size of 6F. Post the intervention (on the following day and after 6 weeks), follow-up was conducted clinically and using color-coded duplex ultrasound.RESULTSImmediate hemostasis was achieved in 939/1000 patients (93.9%). In the remaining 61 cases, a correct positioning of the polyglycolic acid plug was not possible because of malfunctioning of the device, massive vascular wall calcifications, postoperative scar tissue, or too steep a puncture angle. In these cases, manual compression was successful. There was one retroperitoneal bleeding requiring transfusion. Minor complications were observed (7.4% in total) with 10 pseudoaneurysm (1%), 63 inguinal hematomas (up to 3 cm; 6.3%), and 1 stenosis (0.1%).CONCLUSIONSafe and effective hemostasis is possible with the percutaneous ExoSeal closure system at puncture sizes of 6F.

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Section: Discussionmentioning

confidence: 88%

Percutaneous Vascular Closure System Based on an Extravascular, Bioabsorbable Polyglycolic Plug (ExoSeal): Results from 1000 Patients

Kamusella

Wissgott

Jahnke

et al. 2014

Clin Med Insights Cardiol

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“…Nach perkutanen transfemoralen Zugängen werden in 3 -9 % der Fälle postinterventionelle Pseudoaneurysmen beobachtet [1]. Entsprechend der Publikation von Steinkamp et al[18] wurden Pseudoaneurysmen, welche nicht operativ versorgt werden mussten, als eine Minor-Komplikation eingestuft und konnte durch eine gezielte sonografisch gesteuerte Kompression oder Thrombininjektion behandelt werden[19,20]. Tastbare Fadengranulome werden als nicht schmerzhaft, aber störend, im Sinne eines Fremdkörpers wahrgenommen.…”

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Einsatz eines perkutanen Nahtverschlusssystems nach 6 - 8F transfemoralen Zugängen: Ergebnisse von 2200 Patienten

Kamusella¹,

Wissgott²,

Andresen³

2012

Fortschr Röntgenstr

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Das Aneurysma spurium – eine seltene Komplikation nach distaler Verriegelung eines Femurmarknagels

et al. 2008

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A pseudoaneurysm is caused by an extravasal hematoma after vessel injury. Persistent blood supply via the afferent artery can lead to aneurysm growth with potential rupture of the lesion. We present a case of a 27-year-old man who developed three independent pseudoaneurysms after insertion of percutaneous distal locking bolts for static locking of an intramedullary femur nail. Color-coded Doppler sonography and intraarterial subtraction angiography were used to detect the lesion. Successful treatment consisted of endovascular embolization (coiling) with injection of a platinum coil into the aneurysm's supplying vessel. Pseudoaneurysm after fracture or fracture fixation represents a rare complication, but the risk of acute bleeding by pseudoaneurysm rupture should not be neglected.

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Thrombininjektion in der Behandlung des iatrogenen Aneurysma spurium

Cited by 5 publications

References 22 publications

Percutaneous Vascular Closure System Based on an Extravascular, Bioabsorbable Polyglycolic Plug (ExoSeal): Results from 1000 Patients

Percutaneous Vascular Closure System Based on an Extravascular, Bioabsorbable Polyglycolic Plug (ExoSeal): Results from 1000 Patients

Einsatz eines perkutanen Nahtverschlusssystems nach 6 - 8F transfemoralen Zugängen: Ergebnisse von 2200 Patienten

Das Aneurysma spurium – eine seltene Komplikation nach distaler Verriegelung eines Femurmarknagels

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