Robert P. Garvin, MD, Evan J. Ryer, MD, H. Richard Yoon, MD, J

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Ultrasound-guided percutaneous thrombin injection of iatrogenic upper extremity pseudoaneurysms Robert P. Garvin, MD, Evan J. Ryer, MD, H. Richard Yoon, MD, J. Brian Kendrick, MD, Thad J. Neidrick, CRNP, James R. Elmore, MD, David P. Franklin, MD Journal of Vascular Surgery Volume 59, Issue 6, Pages 1664-1669 (June 2014) DOI: 10.1016/j.jvs.2014.01.009 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Typical brachial artery pseudoaneurysm (PA) with to-and-fro flow or yin-yang sign. Journal of Vascular Surgery 2014 59, 1664-1669DOI: (10.1016/j.jvs.2014.01.009) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Insertion of 22-gauge spinal needle with stylet by ultrasound guidance. PA, pseudoaneurysm. Journal of Vascular Surgery 2014 59, 1664-1669DOI: (10.1016/j.jvs.2014.01.009) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Successful thrombin injection (TI) demonstrating continued flow in the native brachial artery with complete thrombosis of the pseudoaneurysm (PA). Journal of Vascular Surgery 2014 59, 1664-1669DOI: (10.1016/j.jvs.2014.01.009) Copyright © 2014 Society for Vascular Surgery Terms and Conditions