Skip to content
2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603

Abstract

Introduction

With the development of vascular intervention, pseudoaneurysm complications are increasing. Ultrasound-guided thrombin injection (UGTI) is currently the treatment of choice for pseudoaneurysm, but the pharmacological properties of thrombin may trigger acute thrombosis within the vessel lumen. Despite a very low incidence, this type of primary arterial thrombosis is a serious complication of UGTI, and cases involving multiple branches of the lower limb arteries are particularly rare.

Case Presentation

Here, we report a case of a 65-year-old male who underwent UGTI for the treatment of an iatrogenic pseudoaneurysm of the femoral artery complicated by acute thrombosis of multiple arteries in the lower limbs, and the patient ultimately underwent a successful thrombectomy.

Conclusion

We reviewed the case and analyzed the possible etiologic causes, providing a reference for future clinical work.

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/cmir/10.2174/0115734056280421231129104558
2024-02-13
2024-12-27
Loading full text...

Full text loading...

/deliver/fulltext/cmir/20/1/CMIR-20-E15734056280421.html?itemId=/content/journals/cmir/10.2174/0115734056280421231129104558&mimeType=html&fmt=ahah

References

  1. TisiPV CallamMJ Treatment for femoral pseudoaneurysmsCochrane Database Syst Rev 20092Cd00498110.1002/14651858.CD004981.pub3
    [Google Scholar]
  2. Etemad-RezaiR PeckDJ Ultrasound-guided thrombin injection of femoral artery pseudoaneurysms.Can Assoc Radiol J2003542118120
    [Google Scholar]
  3. MorganR. BelliA.M. Current treatment methods for postcatheterization pseudoaneurysms.J. Vasc. Interv. Radiol.200314669771010.1097/01.RVI.0000071089.76348.6A12817037
    [Google Scholar]
  4. RammosC. RassafT. Insight in the treatment of iatrogenic femoral artery pseudoaneurysms.Vasa202150316316410.1024/0301‑1526/a00093933938229
    [Google Scholar]
  5. LiX.L. XieC.Y. XuH.X. YuS.Y. Contrast-enhanced ultrasound-guided thrombin injection in the management of iatrogenic pseudoaneurysm (PSA): A case report and review of literatures.Clin. Hemorheol. Microcirc.202176454955710.3233/CH‑20092332924996
    [Google Scholar]
  6. KurzawskiJ. PiątekŁ. ZandeckiŁ. PiątekK. TurekŁ. Ultrasound-guided thrombin injection as a preferable method of treatment for iatrogenic pseudoaneurysms after invasive cardiovascular procedures – a single-center experience.Postepy Kardiol. Interwencyjnej202117437638010.5114/aic.2021.11103935126552
    [Google Scholar]
  7. WuH ZhangL ZhangC Non-surgical treatment versus surgery for iatrogenic femoral artery pseudoaneurysms: Systematic review and meta-analysis. Front Surg2022990570110.3389/fsurg.2022.905701
    [Google Scholar]
  8. DelfJ. RamachandranS. MustafaS. SaeedA. KandiyilN. Factors associated with pseudoaneurysm development and necessity for reintervention: a single centre study.Br. J. Radiol.20199210982018089310.1259/bjr.2018089330982331
    [Google Scholar]
  9. PająkM. HasiuraR. StępieńT. Safety evaluation of percutaneous ultrasound-guided thrombin injection into pseudoaneurysms.Pol. Przegl. Chir.2019912202410.5604/01.3001.0012.861331032803
    [Google Scholar]
  10. KrügerK. ZähringerM. SöhngenF.D. GossmannA. SchulteO. FeldmannC. StroheD. LacknerK. Femoral pseudoaneurysms: Management with percutaneous thrombin injections--success rates and effects on systemic coagulation.Radiology2003226245245810.1148/radiol.226201210712563139
    [Google Scholar]
  11. KurzawskiJ. Janion-SadowskaA. ZandeckiL. SadowskiM. Comparison of the efficacy and safety of two dosing protocols for ultrasound guided thrombin injection in patients with iatrogenic femoral pseudoaneurysms.Eur. J. Vasc. Endovasc. Surg.20205961019102510.1016/j.ejvs.2020.01.00932014339
    [Google Scholar]
  12. SackettWR TaylorSM CoffeyCB Ultrasound-guided thrombin injection of iatrogenic femoral pseudoaneurysms: A prospective analysis.Am Surg20006610937940
    [Google Scholar]
  13. KhouryM. RebeccaA. GreeneK. RamaK. ColaiutaE. FlynnL. BergR. Duplex scanning–guided thrombin injection for the treatment of iatrogenic pseudoaneurysms.J. Vasc. Surg.200235351752110.1067/mva.2002.12002911877701
    [Google Scholar]
/content/journals/cmir/10.2174/0115734056280421231129104558
Loading
/content/journals/cmir/10.2174/0115734056280421231129104558
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test