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Percutaneous ablation of peripheral pseudoaneurysms using thrombin: a simple and effective solution.
R J Owen1, P J Haslam, S T Elliott
1Department of Clinical Radiology, Freeman Hospital, Newcastle upon Tyne, UK.
Cardiovascular and Interventional Radiology
|March 10, 2001
Summary
Percutaneous injection of tissue adhesive or thrombin solution effectively treats peripheral artery pseudoaneurysms. This minimally invasive approach offers advantages over compression or surgery for femoral artery pseudoaneurysm management.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Peripheral artery pseudoaneurysms are abnormal bulges in artery walls.
- Previous treatments like ultrasound-guided compression have limitations.
Purpose of the Study:
- To evaluate the efficacy of tissue adhesive and thrombin solution for percutaneous ablation of peripheral artery pseudoaneurysms.
Main Methods:
- Twenty-five pseudoaneurysms were treated using percutaneous injection of tissue adhesive or thrombin.
- A protective balloon was used in 19 cases; thrombin alone in six.
- Color Doppler ultrasound guided needle placement and monitored aneurysm changes.
Main Results:
- All 25 pseudoaneurysms were successfully treated with no immediate complications or emboli.
- Two patients needed a follow-up procedure.
- One patient developed a contralateral pseudoaneurysm.
Conclusions:
- Percutaneous injection is a safe, atraumatic, and effective treatment for peripheral artery pseudoaneurysms.
- This method shows significant advantages compared to ultrasound-guided compression and surgical repair.