Percutaneous ultrasound-guided thrombin injection is effective even in infants with external iliac artery...

Area of Science:

• Pediatric vascular surgery
• Interventional radiology
• Pediatric cardiology

Background:

• Iatrogenic pseudoaneurysms are uncommon vascular complications, particularly in pediatric patients.
• Limited data exists on managing pseudoaneurysms in infants and children compared to adults.
• External iliac artery pseudoaneurysms can arise post-procedurally.

Purpose of the Study:

• To report a successful treatment of a rare iatrogenic pseudoaneurysm in an infant.
• To highlight the efficacy of ultrasound-guided percutaneous thrombin injection in pediatric patients.

Main Methods:

• A 6-month-old infant presented with an external iliac artery pseudoaneurysm.
• The pseudoaneurysm was treated using ultrasound-guided percutaneous injection of thrombin.
• Standard pre- and post-procedure imaging confirmed successful exclusion of the pseudoaneurysm.

Main Results:

• Successful exclusion of the external iliac artery pseudoaneurysm was achieved.
• The infant tolerated the procedure well with no immediate complications.
• Follow-up imaging demonstrated complete resolution of the pseudoaneurysm.

Conclusions:

• Ultrasound-guided percutaneous thrombin injection is a safe and effective treatment for iatrogenic pseudoaneurysms in infants.
• This minimally invasive approach offers a viable alternative to surgery in pediatric vascular emergencies.
• Further research is warranted to establish guidelines for this treatment modality in children.