PMID: 11340145May 8, 2001Paper

Thromboembolism complicating thrombin injection of femoral artery pseudoaneurysm: management with intraarterial thrombolysis

Journal of Vascular and Interventional Radiology : JVIR
S Sadiq, W Ibrahim

Abstract

Ultrasound (US)-guided compression of pseudoaneurysms is being rapidly replaced by US-guided percutaneous treatment with thrombin injection because of the less intensive nature of this procedure. Thromboembolism after percutaneous treatment with thrombin injection is rare and has been described in brachial artery pseudoaneurysms. These were managed with intravenous administration of heparin and surgical thrombectomy. In this report, the authors describe thromboembolic complication of thrombin injection after treatment of a femoral artery pseudoaneurysm. This was managed by intraarterial thrombolysis with use of recombinant tissue plasminogen activator (rt-PA) with resolution of all major occlusive changes. A lower dose of thrombin injection and frequent postprocedural monitoring of distal pulses is recommended.

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Citations

Dec 4, 2004·Cardiovascular and Interventional Radiology·Cüneyt AytekinFatih Boyvat
Dec 16, 2006·Cardiovascular and Interventional Radiology·Mark RobinsonNicholas Carr
Jan 16, 2008·Cardiovascular and Interventional Radiology·Frank SchellhammerGünter Fürst
May 19, 2009·Cardiovascular and Interventional Radiology·Robert JuszkatWacław Majewski
Feb 18, 2010·Cardiovascular and Interventional Radiology·Dimitrios Tsetis
Jan 13, 2004·The Journal of Arthroplasty·Mohannad IbrahimTimothy W I Clark
Jan 22, 2002·Journal of the American College of Surgeons·Alex PowellGerald Zemel
Jan 21, 2006·AJR. American Journal of Roentgenology·Anil K DasyamSharlene A Teefey
Oct 18, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nael E A SaadDeborah J Rubens
Jun 21, 2003·Journal of Vascular and Interventional Radiology : JVIR·Robert Morgan, Anna-Maria Belli
May 26, 2009·Current Problems in Diagnostic Radiology·Baljendra S KapoorMark E Lockhart
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Günter Görge, Thomas Kunz
Jul 3, 2016·Vascular·Farah MohammadAlexander Shepard
Dec 20, 2005·Seminars in Vascular Surgery·Matthew A Corriere, Raul J Guzman
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gisbert GehlingDierk Werner
Sep 9, 2006·Journal of Clinical Ultrasound : JCU·Stanislaw P Stawicki, Brian A Hoey
Sep 28, 2018·Hämostaseologie·Sophie PetersJoerg Herold

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