Percutaneous duplex-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms. |
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| Authors: | E G Vermeulen U Umans A Rijbroek J A Rauwerda |
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| Affiliation: | Department of Vascular Surgery, University Hospital Vrije Universiteit, Amsterdam, The Netherlands. |
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| Abstract: | OBJECTIVES: to evaluate the feasibility of treatment of post-catheterisation pseudoaneurysms with duplex-guided thrombin injection. TECHNIQUE: the technique of duplex-guided injection of thrombin in post-catheterisation pseudoaneurysms of the femoral artery is described and illustrated. RESULTS: between December 1998 and October 1999, eight post-catheterisation pseudoaneurysms of the femoral artery were successfully thrombosed with thrombin injection. One patient developed a new pseudoaneurysm within 6 hours and this was also successfully treated with thrombin. Follow-up duplex-scanning at 3 months revealed no recurrences. No other adverse events occurred. CONCLUSIONS: this initial experience suggests that duplex-guided thrombin injection in the treatment of post-catheterisation pseudo-aneurysms is feasible and safe. |
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