Treatment of radial and ulnar artery pseudoaneurysms using percutaneous thrombin injection.
Pseudoaneurysm formation is a recognized complication of arterial catheterization or traumatic arterial disruption, which may lead to considerable morbidity. Ultrasound-guided thrombin injection has been shown to be effective in the treatment of peripheral pseudoaneurysms; however, its application in the management of radial or ulnar artery pseudoaneurysms has not been well established. Arterial thrombosis and distal embolization are concerns when treating a pseudoaneurysm involving a small vessel. We performed successful ultrasound-guided thrombin injection of a 3-cm radial artery and a 2.5-cm ulnar artery pseudoaneurysm resulting from arterial catheterization and missed arterial trauma, respectively. Radial artery recannalization occurred 28 days after the procedure whereas the ulnar artery remained patent throughout the observation period.
Division of Vascular Surgery, Department of Surgery, Loma Linda University, Loma Linda, CA 92534, USA.
Ewa
E
Komorowska-Timek
Theodore H
TH
Teruya
Ahmed M
AM
Abou-Zamzam
Diane
D
Papa
Jeffrey L
JL
Ballard
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007049:Iatrogenic Disease; D007271:Injections, Intradermal / Q000379:methods; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging; D013917:Thrombin / Q000008:administration & dosage*; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000000981:diagnostic imaging; D014463:Ultrasonography
D006490:Hemostatics; D013917:Thrombin