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Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair.

Publication ,  Journal Article
Paulson, EK; Sheafor, DH; Kliewer, MA; Nelson, RC; Eisenberg, LB; Sebastian, MW; Sketch, MH
Published in: Radiology
May 2000

PURPOSE: To evaluate and compare the treatment of iatrogenic femoral arterial pseudoaneurysms by using ultrasonographically (US) guided direct thrombin injection with US-guided compression repair. MATERIALS AND METHODS: Twenty-six patients with iatrogenic femoral arterial pseudoaneurysms were treated with direct thrombin injection. With US guidance, a 22-gauge needle was placed into the pseudoaneurysm flow lumen and thrombin (mean volume, 0.35 mL; range, 0.10-0.60 mL) was injected with continuous color Doppler US guidance. Demographics, clinical variables, pseudoaneurysm characteristics, and results in these patients were compared with those in 281 consecutive patients who underwent US-guided compression repair. RESULTS: The success rate of thrombin injection was 96% (25 of 26 patients), which was significantly higher than that of compression, 74% (209 of 281 patients) (P =.013). Twenty of 26 (77%) patients required a single injection, and six (23%) required two injections. Mean thrombosis time for thrombin injection was 6 seconds, compared with 41.5 minutes for compression. For thrombin injection, there were no complications, foot pulses did not change and no patients required conscious sedation. Follow-up US at 24 hours showed no recurrent pseudoaneurysms. CONCLUSION: For the treatment of iatrogenic femoral arterial pseudoaneurysms, thrombin injection with US guidance appears to be superior to compression repair.

Duke Scholars

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

May 2000

Volume

215

Issue

2

Start / End Page

403 / 408

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Ultrasonography, Doppler, Color
  • Treatment Outcome
  • Time Factors
  • Thrombin
  • Pulse
  • Pressure
  • Nuclear Medicine & Medical Imaging
  • Needles
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Paulson, E. K., Sheafor, D. H., Kliewer, M. A., Nelson, R. C., Eisenberg, L. B., Sebastian, M. W., & Sketch, M. H. (2000). Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair. Radiology, 215(2), 403–408. https://doi.org/10.1148/radiology.215.2.r00ap35403
Paulson, E. K., D. H. Sheafor, M. A. Kliewer, R. C. Nelson, L. B. Eisenberg, M. W. Sebastian, and M. H. Sketch. “Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair.Radiology 215, no. 2 (May 2000): 403–8. https://doi.org/10.1148/radiology.215.2.r00ap35403.
Paulson EK, Sheafor DH, Kliewer MA, Nelson RC, Eisenberg LB, Sebastian MW, et al. Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair. Radiology. 2000 May;215(2):403–8.
Paulson, E. K., et al. “Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair.Radiology, vol. 215, no. 2, May 2000, pp. 403–08. Pubmed, doi:10.1148/radiology.215.2.r00ap35403.
Paulson EK, Sheafor DH, Kliewer MA, Nelson RC, Eisenberg LB, Sebastian MW, Sketch MH. Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair. Radiology. 2000 May;215(2):403–408.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

May 2000

Volume

215

Issue

2

Start / End Page

403 / 408

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Ultrasonography, Doppler, Color
  • Treatment Outcome
  • Time Factors
  • Thrombin
  • Pulse
  • Pressure
  • Nuclear Medicine & Medical Imaging
  • Needles
  • Male