Ultrasound-Guided Thrombin Injection of Genicular Artery Pseudoaneurysm

Rachakonda, Aditya; Khaddash, Tamim; Carroccio, Alfio; Pamoukian, Vicken; Giangola, Gary

doi:10.1016/j.avsg.2014.12.037

Cited by 6 publications

(11 citation statements)

References 12 publications

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“…In our case, we opted for the use of Onyx, since the aneurysm neck was not small in diameter, and there was concern that if injected thrombin could enter the vessel causing arterial thrombosis. This would hardly happen after the onyx quickly polymerised 10…”

Section: Discussionmentioning

confidence: 99%

Endovascular repair of spontaneous popliteal artery pseudoaneurysm

2020

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Popliteal artery pseudoaneurysms are rare and are generally associated with local trauma, such as orthopaedic surgery or expansile bone lesions in the popliteal fossa. The authors describe a case of popliteal artery pseudoaneurysm in a 24-year-old man. A thorough workup revealed no history of trauma, invasive procedures, vasculitis or any other factors that could constitute a probable cause of the pseudoaneurysm. However, as the patient practices running, it is not possible to rule out minor previous trauma that has not been noticed.

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Section: Discussionmentioning

confidence: 99%

Endovascular repair of spontaneous popliteal artery pseudoaneurysm

2020

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“…In this scenario, different types of vascular complications have been reported in medical literature, mainly in the form of case reports: vessel laceration, haemorrhage, vascular compression, intimal flap tear, pseudoaneurysm, arteriovenous aneurysm, arterial thromboembolism, and ligation [4][5][6][7][8][9][10][11][12][13][14]20].…”

Section: Discussionmentioning

confidence: 99%

“…Based on clinical examination, instrumental diagnosis is primarily done via ultrasound scanning, especially in the case of pseudoaneurysms showing flow outside the artery, the presence of a track from the puncture site to the aneurysm sac, and a 'to and from' flow pattern corresponding to filling and emptying of the sac during systole and diastole, respectively; contrast-enhanced CT and angiography can be used for optimal decision making, also in the case of limb lesions [10,22].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature this scenario has been reported mainly in the form of case reports concerning vascular complications of a specific orthopaedic intervention [4][5][6][7][8][9][10][11][12][13][14]; this paper aims to evaluate the safety and efficacy of endovascular embolisation in a series of patients presenting with arterial injuries of the lower limbs following orthopaedic surgery.…”

Section: Introductionmentioning

confidence: 99%

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The role of interventional radiology in the treatment of lower limb vascular injuries after orthopaedic surgery

Giurazza¹,

Corvino²,

Silvestre³

et al. 2019

Pol J Radiol

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Purpose: This paper focuses on the role of interventional radiology embolisations in a series of patients presenting with iatrogenic vascular injuries of the lower limbs following orthopaedic interventions. Material and methods:Fourteen patients (mean age: 64 years, range 23-90 years) were retrospectively analysed. Clinical presentation consisted of palpable pulsatile mass, pain, reduced lower limb motion, or visible haematoma; 11 patients had also anaemia (haemoglobin < 7 g/dl). Results:The time between orthopaedic surgery and embolisation ranged between 0 and 67 days (mean: 15 days). Injured arterial vessels were as follows: inferior gluteal artery (2), superficial external pudendal artery (2), deep femoral artery (1), lateral circumflex femoral artery (3), medial circumflex femoral artery (2), articular branch of descending genicular artery (1), perforating femoral arteries (3), posterior tibial recurrent artery (1), and anterior tibial artery (1). The typologies of vascular lesion were: pseudoaneurysm 57%, bleeding with extraluminal contrast agent blush of the terminal arterial segment 36%, and laceration and bleeding with extraluminal contrast agent blush of the arterial main trunk 7%. Embolising agents adopted were microcoils 57%, glue 14%, microplug 7%, particles 14%, and covered stent 7%. In all cases clinical and procedural technical successes were obtained (100%). Conclusions:For the management of vascular injuries occurring after different orthopaedic interventions of the lower limbs, endovascular embolisations have proven to be safe and effective; orthopaedic surgeons should be aware of the support that interventional radiology could provide in the case of iatrogenic vascular complications.

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“…Smaller pseudoaneurysms could be managed with thrombin injection, especially in those with narrow and long necks. 13 In other cases, a patch angioplasty at the injury site could suffice. 5 This would be appropriate in the setting of localized arterial injury that is not amenable to primary repair.…”

Section: Discussionmentioning

confidence: 99%

Management of Chronic Massive Traumatic Popliteal Artery Pseudoaneurysm: A Case Series With Different Treatment Strategies

Khalifeh

Kantar

Watson

et al. 2017

Vasc Endovascular Surg

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Giant traumatic popliteal artery (PA) pseudoaneurysms (PSA) are rare but limb threatening if untreated. Management can be challenging, as no standardized approach exists. This report evaluates our experience with 3 cases treated differently. Treatment is individualized based on patient disease and comorbidities. Endovascular and local patch arterial repair are safe alternatives to graft bypass when feasible.

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Ultrasound-Guided Thrombin Injection of Genicular Artery Pseudoaneurysm

Cited by 6 publications

References 12 publications

Endovascular repair of spontaneous popliteal artery pseudoaneurysm

Endovascular repair of spontaneous popliteal artery pseudoaneurysm

The role of interventional radiology in the treatment of lower limb vascular injuries after orthopaedic surgery

Management of Chronic Massive Traumatic Popliteal Artery Pseudoaneurysm: A Case Series With Different Treatment Strategies

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