Treatment of Iatrogenic Pseudoaneurysms Using Ultrasound-Guided Thrombin Injection over a 5-Year Period
| Autor: | Kaushal J. Shah, James J. Jenkins, Deepa R. Halaharvi, Randall W. Franz |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Surgical repair
medicine.medical_specialty business.industry Ultrasound medicine.disease Urban community Ultrasound guided Surgery Pseudoaneurysm Thrombin Chart review medicine cardiovascular system Original Article Radiology cardiovascular diseases Single institution Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | The International journal of angiology : official publication of the International College of Angiology, Inc. 20(4) |
| ISSN: | 1615-5939 |
| Popis: | In this study we demonstrate that ultrasound (US)-guided injection of thrombin is a safe and effective way to treat iatrogenic pseudoaneurysms as a new treatment modality at a 650-bed urban community hospital. We included retrospective chart review of patients who were treated for iatrogenic pseudoaneurysms from January 2004 to June 2010 at a single institution. All patients' pseudoaneurysms were treated using US-guided thrombin injection. This study demonstrated an overall success rate of 97.1% in treating iatrogenic pseudoaneurysms in 33 of 34 patients. One patient underwent open surgical repair. No mortality or complications were noted. The study was successful in demonstrating that the US-guided injection of thrombin is an efficacious way to treat iatrogenic pseudoaneurysms and can be safely implemented as a new treatment modality by appropriately trained vascular surgeons. A review of different techniques is included. An algorithm for the treatment of iatrogenic pseudoaneurysms is proposed from this study. |
| Databáze: | OpenAIRE |
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