Traumatic axillary artery pseudoaneurysm treated with intravascular balloon occlusion and percutaneous thrombin injection

Abstract

Axillary artery pseudoaneurysms are relatively rare, with few reported cases found in the literature. Furthermore, treatment with percutaneous thrombin injection has not yet been reported. We report the case of a 59-year-old man with a large (10 cm) post-traumatic pseudoaneurysm of the left axillary artery found five weeks after a motorcycle crash. The patient sustained multiple injuries, including fractures of the left scapula and clavicle. Edema was observed at the time of diagnosis. Arteriography with successful ultrasound-guided percutaneous thrombin injection was undertaken. The patient experienced no complications after the procedure.

Coil embolization of a giant pseudoaneurysm associated with a disrupted axillary artery: a case report

“…To maintain the position of a coil within an inflow vessel, interventional radiologists use a balloon to decrease the blood-flow [ 13 ] or temporarily detain part of the coil as an anchor in a target vessel branch. In our patient, we created a scaffold by using coils with a strong radial force and densely packed them to embolize a short segment of the right AA, ensuring that collateral flows to the forearm were not excluded.…”

A Rare Case of Axillary Artery Pseudoaneurysm Due to Shoulder Dislocation Treated With Percutaneous Thrombin Injection

“…Finally, in cases with wider necks, endovascular balloon occlusion of the PSA neck can serve to protect against distal embolization while injecting the thrombin. 19…”

Iatrogenic Axillary Pseudoaneurysm Caused by Ultrasound-guided, Vacuum-assisted Biopsy of the Axillary Lymph Node: A Case Report

“…Because the femoral artery is routinely used as an arterial access for endovascular procedures, it is by far the most common site of iatrogenic pseudoaneurysm formation. 3 Management approaches for the femoral artery pseudoaneurysms have been well described. Minimally invasive interventions, including percutaneous thrombin injection and covered stent placement, are the standard of care.…”

“…4 Axillary pseudoaneurysms are often associated with traumas, such as anterior shoulder dislocations, proximal humeral fractures, and stab or gunshot wounds. 3 Rarely, iatrogenic causes of pseudoaneurysms have been reported, including pacemaker placement and coronary angiography via brachial artery access. 4 One case report documented an axillary pseudoaneurysm after a core needle biopsy of the axillary lymph node.…”