Acute arterial occlusion after ultrasound-guided thrombin injection of a common femoral artery pseudoaneurysm with a wide, short neck.
Ultrasound-guided thrombin injection (UGTI) has emerged as the preferred treatment modality for pseudoaneurysms occurring as a result of percutaneous femoral arterial interventions. UGTI is safe and effective, with few complications. Native arterial thrombosis has been rarely reported in the literature following UGTI and has usually been attributed to excessive thrombin injection. We report a case of femoral arteria thrombosis occurring following UGTI of a 4 cm postcatherization pseudoaneurysm with a wide, short neck successfully treated by surgical intervention. The large size of the neck of this pseudoaneurysm likely contributed to the development of this complication.
D'Ayala
Marcus
M
Department of Surgery, New York Methodist Hospital, Brooklyn, NY 11215, USA. mdd9004@nyp.org
Smith
Robina
R
Zanieski
Gregory
G
Fahoum
Bashar
B
Tortólani
Anthony J
AJ
D000208:Acute Disease; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy*; D001157:Arterial Occlusive Diseases / Q000139:chemically induced* / Q000150:complications / Q000628:therapy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000187:drug effects*; D006490:Hemostatics / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D015552:Injections, Intralesional; D007511:Ischemia / Q000209:etiology / Q000628:therapy; D008297:Male; D017131:Thrombectomy; D013917:Thrombin / Q000008:administration & dosage / Q000009:adverse effects*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000139:chemically induced* / Q000150:complications / Q000628:therapy; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin