Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula : Report of two patients
We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoaneurysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, a...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2000-09, Vol.23 (5), p.396-400 |
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| container_title | Cardiovascular and interventional radiology |
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| creator | CLARK, Timothy W. I ABRAHAM, Robert J |
| description | We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoaneurysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, an angioplasty balloon was inflated across the neck of the aneurysm during thrombin injection. In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries. |
| doi_str_mv | 10.1007/s002700010091 |
| format | Article |
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I ; ABRAHAM, Robert J</creator><creatorcontrib>CLARK, Timothy W. I ; ABRAHAM, Robert J</creatorcontrib><description>We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoaneurysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, an angioplasty balloon was inflated across the neck of the aneurysm during thrombin injection. In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s002700010091</identifier><identifier>PMID: 11060373</identifier><identifier>CODEN: CAIRDG</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Aneurysm, False - diagnostic imaging ; Aneurysm, False - etiology ; Aneurysm, False - therapy ; ARTERIES ; Arteriovenous Shunt, Surgical - adverse effects ; Biological and medical sciences ; Blood and lymphatic vessels ; Brachial Artery ; Cardiology. Vascular system ; Coagulants - therapeutic use ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Humans ; INJECTION ; Injections, Intra-Arterial ; Male ; Medical sciences ; NECK ; PATIENTS ; Radiography, Interventional ; RADIOLOGY AND NUCLEAR MEDICINE ; Renal Dialysis - adverse effects ; THROMBIN ; Thrombin - therapeutic use ; THROMBOSIS</subject><ispartof>Cardiovascular and interventional radiology, 2000-09, Vol.23 (5), p.396-400</ispartof><rights>2001 INIST-CNRS</rights><rights>Springer-Verlag New York Inc. 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-a517cb64e676f5a95106adf801284123bbc5d89264405c3cb7d5e23d95dfbc933</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=825577$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11060373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21083587$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>CLARK, Timothy W. I</creatorcontrib><creatorcontrib>ABRAHAM, Robert J</creatorcontrib><title>Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula : Report of two patients</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>We report two patients with arteriovenous hemodialysis fistulas that were complicated by brachial artery pseudoaneurysms. Each pseudoaneurysm was percutaneously thrombosed with an injection of thrombin, using techniques to prevent escape of thrombin into the native brachial artery. In one patient, an angioplasty balloon was inflated across the neck of the aneurysm during thrombin injection. In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries.</description><subject>Adult</subject><subject>Aged</subject><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, False - therapy</subject><subject>ARTERIES</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Brachial Artery</subject><subject>Cardiology. Vascular system</subject><subject>Coagulants - therapeutic use</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. 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In the second patient, thrombin was injected during ultrasound-guided compression of the neck of the pseudoaneurysm. Complete thrombosis of each pseudoaneurysm was achieved within 30 sec. No ischemic or embolic events occurred. This technique may be useful in treating pseudoaneurysms of smaller peripheral arteries.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>11060373</pmid><doi>10.1007/s002700010091</doi><tpages>5</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2000-09, Vol.23 (5), p.396-400 |
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| subjects | Adult Aged Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - therapy ARTERIES Arteriovenous Shunt, Surgical - adverse effects Biological and medical sciences Blood and lymphatic vessels Brachial Artery Cardiology. Vascular system Coagulants - therapeutic use Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Humans INJECTION Injections, Intra-Arterial Male Medical sciences NECK PATIENTS Radiography, Interventional RADIOLOGY AND NUCLEAR MEDICINE Renal Dialysis - adverse effects THROMBIN Thrombin - therapeutic use THROMBOSIS |
| title | Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula : Report of two patients |
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