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Post-catheterization pseudoaneurysm in a one-year-old child treated by ultrasound-guided human thrombin injection

Q Hussain1, G Maleux, S Heye

  • 1Department of Radiology, University Hospitals Leuven, Belgium.

JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
|June 19, 2009
PubMed

Insights

A minimally invasive treatment successfully closed a pseudoaneurysm in a child

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Interventional Radiology

Background:

  • Iatrogenic pseudoaneurysms can arise after cardiac catheterization procedures.
  • The right common femoral artery is a common access site, making it susceptible to injury.
  • Treatment options for pediatric pseudoaneurysms are limited, necessitating minimally invasive approaches.

Observation:

  • A one-year-old boy developed a pseudoaneurysm of the right common femoral artery post-catheterization.
  • The pseudoaneurysm presented as a pulsating lump, confirmed by physical examination.

Findings:

  • Ultrasound-guided percutaneous injection of human thrombin was performed under general anesthesia.
  • The procedure resulted in the complete disappearance of the pseudoaneurysm.
  • Two-month follow-up confirmed the successful resolution of the pseudoaneurysm.

Implications:

  • Ultrasound-guided thrombin injection offers a safe and effective treatment for pediatric iatrogenic pseudoaneurysms.
  • This minimally invasive technique avoids surgical intervention, reducing risks for young patients.
  • The findings support thrombin injection as a valuable therapeutic option in pediatric vascular interventions.

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