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

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Presentation on theme: "Treatment of iatrogenic femoral artery pseudoaneurysm with percutaneous thrombin injection  Chiau-Suong Liau, MD, Feng-Ming Ho, MD, Ming-Fong Chen, MD,"— Presentation transcript:

1 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 (July 1997) DOI: /S (97) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 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  , 18-23DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 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  , 18-23DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 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  , 18-23DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 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  , 18-23DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 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  , 18-23DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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