Ultrasound guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysms
10.3760/cma.j.issn.1673-4203.2015.06.011
- VernacularTitle:超声引导下凝血酶注射术治疗医源性股动脉假性动脉瘤的临床应用
- Author:
Huan ZHANG
;
Fuxian ZHANG
- Publication Type:Journal Article
- Keywords:
Ultrasound;
Thrombin;
Pseudoaneurysm
- From:
International Journal of Surgery
2015;42(6):396-398
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect and safety of ultrasound-guided pereutaneous thrombin injection for the treatment of iatrogenic femoral arterial pseudoaneurysm.Methods Thirty patients [6 male,24 female,age range 45-82 years,mean (63 ± 10) years] were found to have pseudoaneurysms confirmed by ultrasound between 1 and 7 days following femoral arterial puncture from July 2011 through July 2014.Results All patient had pseudoaneurysm thrombosis after the first procedure.Thrombin 200-1000 U (50 U/mL)was injected into the pseudoaneurysm under ultrasound-guidance,performed.One patient showed acute allergy 5 min after thrombin injection,which was relieved by anti-allergic therapy.No thromboembolic complications or infections occurred.Conclusions Ultrasound-guided pereutaneous thrombin injection is a safe and effective noninvasive method for the treatment of iatrogenic femoral pseudoaneurysm and should be considered as first-line therapy.
