Treatment of iatrogenic femoral artery pseudoaneurysm with percutaneous thrombin injection Chiau-Suong Liau, MD, Feng-Ming Ho, MD, Ming-Fong Chen, MD,

Slides:

Advertisements

Similar presentations

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Advertisements

Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A

Heparin-coated catheters and heparin-induced thrombocytopenia

Persistent sciatic artery: Embryology, pathology, and treatment

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Follow-up of renal artery stenosis by duplex ultrasound

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Bare metal stent infections: Case report and review of the literature

Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine Matthias H. Seelig, MD, Paul J. Klingler, MD,

Arterial rupture without balloon rupture during percutaneous transluminal angioplasty Timothy P. Murphy, M.D., John J. Cronan, M.D., Landy P. Paolella,

James W. Dennis, MD, Eric R. Frykberg, MD, FACS, John M

Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.

Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft Bertram L. Smith, MD, Carolyn E. Munschauer,

A new valvulotome for in situ bypass grafts

Elliot L. Chaikof, MD, PhD, Brian E. Campbell, BA, Robert B. Smith, MD

Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A

Malcolm O. Perry, MD, Richard Kempczinski, MD

Percutaneous transcatheter embolization for arterial trauma

The potential for lower extermity revascularization without contrast arteriography: Experience with magnetic resonance angiography Richard P. Cambria,

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

Rick Feld, MD, Gerald M. Patton, MD, R

Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting? Richard.

Interposition grafting for reoperation on the common femoral artery

Heparin-coated catheters and heparin-induced thrombocytopenia

Marc M. Sedwitz, M. D. , Richard J. Davies, M. D. , Harold T

Bare metal stent infections: Case report and review of the literature

Dissection of the external iliac artery in highly trained athletes

Femoral artery thrombosis after percutaneous thrombin injection of an external iliac artery pseudoaneurysm Thomas L. Forbes, MD, FRCSCa, Steven F. Millward,

Vascular complications of cardiac catheterization

Follow-up of renal artery stenosis by duplex ultrasound

Minimizing mortality and morbidity from iatrogenic arterial injuries: The need for early recognition and prompt repair Joseph L. Mills, M.D., James E.

Presidential address: Vascular surgery—The third generation

Traumatic arteriovenous fistula 52 years after injury

Objective tinnitus resulting from internal carotid artery stenosis

Exclusion of a sciatic artery aneurysm and an obturator bypass

Use of duplex scanning in the diagnosis of arteria profunda femoris stenosis Andreas L. Strauss, MD, Willi Schäberle, MD, Horst Rieger, MD, Franz-Josef.

Martin E. Harrington, MD, Myron E. Schwartz, MD, Timothy A

Lytic therapy in the treatment of axillary and subclavian vein thrombosis Edward M. Druy, M.D., Hugh H. Trout, M.D., Joseph M. Giordano, M.D., William.

Ipsilateral femoral vein compression: A contraindication to thrombin injection of femoral pseudoaneurysms Benjamin Hung, MD, a, Bertrand Gallet, MD,

Septic complications after cardiac catheterization and percutaneous transluminal coronary angioplasty Robert A. McCready, MD, Harry Siderys, MD, John.

Calvin B. Ernst, MD Journal of Vascular Surgery

Clinical failure after percutaneous transluminal angioplasty of the superficial femoral and popliteal arteries Laura A. Karch, MD, Mark A. Mattos, MD,

Ann L. Peick, MD. , W. Kirt Nichols, MD, Jack J

Walter Pipkin, MD, Colleen Brophy, MD, Robert Nesbit, MD, J

Carotid endarterectomy and local intraarterial thrombolysis: Simultaneous procedure in acute occlusion of the internal carotid artery and middle cerebral.

Treatment of recurrent femoral or popliteal artery stenosis after percutaneous transluminal angioplasty Gerald S. Treiman, MD*, Laura Ichikawa, BS‡,

Limitations of ultrasonic duplex scanning for diagnosing lower limb arterial stenoses in the presence of adjacent segment disease Louis Allard, MSc,

Iatrogenic superior mesenteric arteriovenous fistula

Bradford M. Blakeman, M. D. , Fred N. Littooy, M. D. , William H

Dipankar Mukherjee, M. D. , William J. Schickler, M. D

Research and research funding in vascular surgery

Excimer laser—assisted femoral angioplasty: Early results

Incidence and results of arterial complications among 16,350 patients undergoing cardiac catheterization Sateesh C. Babu, MD a, George O. Piccorelli,

Successful treatment of prolonged superior vena cava syndrome with thrombolytic therapy: A case report Peter C. Rantis, MD, Fred N. Littooy, MD Journal.

Seizures following subclavian-carotid bypass

High incidence of restenosis/reocclusion of stents in the percutaneous treatment of long-segment superficial femoral artery disease after suboptimal angioplasty

Robert J. Anderson, MD, Robert W. Hobson, MD, Frank T

Spontaneous thrombosis of iatrogenic femoral artery pseudoaneurysms: Documentation with color Doppler and two-dimensional ultrasonography Joseph P. Johns,

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Blunt traumatic iliac vein laceration without pelvic fracture: A rare entity Bernard Boulanger, MD, FRCS(C), John Green, DO, Aurelio Rodriguez, MD, FACS

Monitoring vascular surgical performance

William E. Evans, M.D., James P. Hayes, M.S.

The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: A 10-year experience Toshifumi Kudo, MD, PhD,

Recognition and treatment of arterial insufficiency from Cafergot

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Thigh claudication due to profunda femoris artery occlusion

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Treatment of iatrogenic femoral artery pseudoaneurysm with percutaneous thrombin injection Chiau-Suong Liau, MD, Feng-Ming Ho, MD, Ming-Fong Chen, MD, PhD, Yuan-Teh Lee, MD Journal of Vascular Surgery Volume 26, Issue 1, Pages 18-23 (July 1997) DOI: 10.1016/S0741-5214(97)70141-1 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Left iliac artery angiogram of a 38-year-old male patient (patient 5, Table I) with coronary artery disease. This patient underwent one cardiac catheterization 35 days before. Pseudoaneurysm was detected several days after that procedure but was not treated. In this catheterization, percutaneous transluminal coronary angioplasty was performed. The pseudoaneurysm was studied with angiography. It was found that this pseudoaneurysm arose from left external femoral artery. It consists of two chambers connected by a narrow neck (arrowhead). Journal of Vascular Surgery 1997 26, 18-23DOI: (10.1016/S0741-5214(97)70141-1) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Serial ultrasonograms during percutaneous thrombin treatment of a pseudoaneurysm. Patient is same as in Fig. 1. A, Pseudoaneurysm consisted of two chambers (arrowheads) and was adjacent and superficial to the femoral arteries (arrows). B, After injection of saline solution with microbubbles through the catheter, appearance of contrast echoes in the chamber of pseudoaneurysm confirmed the position of the catheter. C, Seconds after thrombin injection, thrombus formation started (arrow heads). D, Thrombus extended to occupy most portions of the cavity of pseudoaneurysm, and blood flow ceased. Journal of Vascular Surgery 1997 26, 18-23DOI: (10.1016/S0741-5214(97)70141-1) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Serial ultrasonograms during percutaneous thrombin treatment of a pseudoaneurysm. Patient is same as in Fig. 1. A, Pseudoaneurysm consisted of two chambers (arrowheads) and was adjacent and superficial to the femoral arteries (arrows). B, After injection of saline solution with microbubbles through the catheter, appearance of contrast echoes in the chamber of pseudoaneurysm confirmed the position of the catheter. C, Seconds after thrombin injection, thrombus formation started (arrow heads). D, Thrombus extended to occupy most portions of the cavity of pseudoaneurysm, and blood flow ceased. Journal of Vascular Surgery 1997 26, 18-23DOI: (10.1016/S0741-5214(97)70141-1) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Serial ultrasonograms during percutaneous thrombin treatment of a pseudoaneurysm. Patient is same as in Fig. 1. A, Pseudoaneurysm consisted of two chambers (arrowheads) and was adjacent and superficial to the femoral arteries (arrows). B, After injection of saline solution with microbubbles through the catheter, appearance of contrast echoes in the chamber of pseudoaneurysm confirmed the position of the catheter. C, Seconds after thrombin injection, thrombus formation started (arrow heads). D, Thrombus extended to occupy most portions of the cavity of pseudoaneurysm, and blood flow ceased. Journal of Vascular Surgery 1997 26, 18-23DOI: (10.1016/S0741-5214(97)70141-1) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Serial ultrasonograms during percutaneous thrombin treatment of a pseudoaneurysm. Patient is same as in Fig. 1. A, Pseudoaneurysm consisted of two chambers (arrowheads) and was adjacent and superficial to the femoral arteries (arrows). B, After injection of saline solution with microbubbles through the catheter, appearance of contrast echoes in the chamber of pseudoaneurysm confirmed the position of the catheter. C, Seconds after thrombin injection, thrombus formation started (arrow heads). D, Thrombus extended to occupy most portions of the cavity of pseudoaneurysm, and blood flow ceased. Journal of Vascular Surgery 1997 26, 18-23DOI: (10.1016/S0741-5214(97)70141-1) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions