Percutaneous repair of radial artery pseudoaneurysm in a hemodialysis patient using sonographically guided thrombin injection.
We report a case of a radial artery pseudoaneurysm complicating an incorrect puncture of a Brescia-Cimino hemodialysis fistula that was treated with percutaneous ultrasound-guided thrombin injection. The pseudoaneurysm recurred after the initial successful thrombin injection. With a second injection we obtained permanent pseudoaneurysm occlusion. Our case illustrates that this procedure is an effective treatment in this type of arteriovenous fistula complication. We compare this case with the only similar one we could find in the literature.
Department of Diagnostic and Interventional Radiology, Niguarda Cà Granda Hospital, Piazza Ospedale Maggiore 3, 20162 Milan, Italy. roccocorso@jumpy.it
Rocco
R
Corso
Antonio
A
Rampoldi
Ruggero
R
Vercelli
Davide
D
Leni
Angelo
A
Vanzulli
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D017534:Radial Artery / Q000000981:diagnostic imaging; D006435:Renal Dialysis; D013917:Thrombin / Q000008:administration & dosage*; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin