Postcatheterization pseudoaneurysms: new developments in the diagnosis and treatment with ultrasound.
Postcatheterization pseudoaneurysms are an increasingly common complication of endovascular procedures. Ultrasound (US) is essential in diagnosis and in playing the key role in the noninvasive treatment of such pseudoaneurysms. The past decade has seen a shift from surgical management to US-guided therapy initially using manual compression. Recently, the minimally invasive technique of percutaneous thrombin injection has been described as an alternative to US-guided compression. This review article discusses the cause and natural history of pseudoaneurysms and describes the technique of US-guided thrombin injection.
Pezzullo
J A
JA
Department of Diagnostic Imaging, Brown Medical School, Providence, Rhode Island 02903, USA. jpezzullo@lifespan.org
Cronan
J J
JJ