Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites

Eduard Ghersin, Tony Karram, Diana Gaitini, Amos Ofer, Samy Nitecki, Henry Schwarz, Aaron Hoffman, Ahuva Engel

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objectives. To evaluate the effectiveness and safety of percutaneous ultrasonographically guided thrombin injection as treatment of unusually positioned and unusually large iatrogenic pseudoaneurysms. Methods. Five patients with iatrogenic pseudoaneurysms were evaluated by color duplex ultrasonography. Two patients had additional digital angiography, and 2 had additional computed tomographic angiography. In 3 of the patients, large, painful iatrogenic pseudoaneurysms located proximal (2 patients) and distal (1 patient) to the arteriovenous hemodialysis fistulas had developed, most likely due to erroneous puncture of the arterial side (brachial artery) or venous side (cephalic vein) of the fistulas. An iatrogenic pseudoaneurysm of the anterior tibial artery had developed in the fourth patient after osteotomy of the fibula, and an iatrogenic pseudoaneurysm of the superficial femoral artery had developed in the fifth patient after erroneous puncture during venous transfemoral angiography. With a sterile technique and color duplex ultrasonographic guidance, a diluted solution of bovine thrombin was slowly injected directly into the iatrogenic pseudoaneurysms until cessation of blood flow was seen. Follow-up color duplex ultrasonography was performed 24 to 48 hours after the ultrasonographically guided thrombin injection. Results. Four iatrogenic pseudoaneurysms were successfully thrombosed during 1 session. Two large iatrogenic pseudoaneurysms necessitated multiple repositions of the injecting needle and several injections of small amounts of thrombin into the residual patent lumen to induce complete thrombosis without an appreciable increase in the total thrombin dosage. Follow-up examinations revealed complete and persistent thrombosis without evidence of distal embolization. One iatrogenic pseudoaneurysm involving the cephalic vein, distal to an arteriovenous hemodialysis fistula, recurred after apparently successful initial thrombosis. Conclusions. Most iatrogenic pseudoaneurysms are amenable to ultrasonographically guided thrombin injection as long as they are imaged adequately by color duplex ultrasonography.

Original languageEnglish
Pages (from-to)809-816
Number of pages8
JournalJournal of Ultrasound in Medicine
Volume22
Issue number8
StatePublished - Aug 1 2003
Externally publishedYes

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thrombin
False Aneurysm
Thrombin
injection
Injections
thrombosis
angiography
arteries
color
Thrombosis
Color
veins
Ultrasonography
Angiography
Arteriovenous Fistula
Punctures
Renal Dialysis
lumens
Veins
patents

Keywords

  • Arteriovenous hemodialysis fistula
  • Computed tomographic angiography
  • Percutaneous thrombin injection
  • Pseudoaneurysm
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

Ghersin, E., Karram, T., Gaitini, D., Ofer, A., Nitecki, S., Schwarz, H., ... Engel, A. (2003). Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites. Journal of Ultrasound in Medicine, 22(8), 809-816.

Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites. / Ghersin, Eduard; Karram, Tony; Gaitini, Diana; Ofer, Amos; Nitecki, Samy; Schwarz, Henry; Hoffman, Aaron; Engel, Ahuva.

In: Journal of Ultrasound in Medicine, Vol. 22, No. 8, 01.08.2003, p. 809-816.

Research output: Contribution to journalArticle

Ghersin, E, Karram, T, Gaitini, D, Ofer, A, Nitecki, S, Schwarz, H, Hoffman, A & Engel, A 2003, 'Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites', Journal of Ultrasound in Medicine, vol. 22, no. 8, pp. 809-816.
Ghersin, Eduard ; Karram, Tony ; Gaitini, Diana ; Ofer, Amos ; Nitecki, Samy ; Schwarz, Henry ; Hoffman, Aaron ; Engel, Ahuva. / Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites. In: Journal of Ultrasound in Medicine. 2003 ; Vol. 22, No. 8. pp. 809-816.
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abstract = "Objectives. To evaluate the effectiveness and safety of percutaneous ultrasonographically guided thrombin injection as treatment of unusually positioned and unusually large iatrogenic pseudoaneurysms. Methods. Five patients with iatrogenic pseudoaneurysms were evaluated by color duplex ultrasonography. Two patients had additional digital angiography, and 2 had additional computed tomographic angiography. In 3 of the patients, large, painful iatrogenic pseudoaneurysms located proximal (2 patients) and distal (1 patient) to the arteriovenous hemodialysis fistulas had developed, most likely due to erroneous puncture of the arterial side (brachial artery) or venous side (cephalic vein) of the fistulas. An iatrogenic pseudoaneurysm of the anterior tibial artery had developed in the fourth patient after osteotomy of the fibula, and an iatrogenic pseudoaneurysm of the superficial femoral artery had developed in the fifth patient after erroneous puncture during venous transfemoral angiography. With a sterile technique and color duplex ultrasonographic guidance, a diluted solution of bovine thrombin was slowly injected directly into the iatrogenic pseudoaneurysms until cessation of blood flow was seen. Follow-up color duplex ultrasonography was performed 24 to 48 hours after the ultrasonographically guided thrombin injection. Results. Four iatrogenic pseudoaneurysms were successfully thrombosed during 1 session. Two large iatrogenic pseudoaneurysms necessitated multiple repositions of the injecting needle and several injections of small amounts of thrombin into the residual patent lumen to induce complete thrombosis without an appreciable increase in the total thrombin dosage. Follow-up examinations revealed complete and persistent thrombosis without evidence of distal embolization. One iatrogenic pseudoaneurysm involving the cephalic vein, distal to an arteriovenous hemodialysis fistula, recurred after apparently successful initial thrombosis. Conclusions. Most iatrogenic pseudoaneurysms are amenable to ultrasonographically guided thrombin injection as long as they are imaged adequately by color duplex ultrasonography.",
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AU - Schwarz, Henry

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