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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
486

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Related Experiment Video

Updated: Mar 18, 2026

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
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Post-procedural pseudoaneurysms: Single-center experience.

Farah Mohammad1, Loay Kabbani1, Judith Lin1

  • 1Division of General and Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI, USA.

Vascular
|July 3, 2016
PubMed
Summary

Ultrasound-guided thrombin injection effectively treats pseudoaneurysms after angiographic procedures. This safe method shows a high success rate, with failures linked to larger aneurysm size and specific patient conditions.

Keywords:
Pseudoaneurysmscomplicationsfailurethrombin injection

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Complications

Background:

  • Pseudoaneurysms are known complications following percutaneous angiographic procedures.
  • Ultrasound-guided thrombin injection is the primary treatment for these post-procedure pseudoaneurysms.

Purpose of the Study:

  • To evaluate the experience and outcomes of managing post-procedure pseudoaneurysms.
  • To assess the efficacy and safety of ultrasound-guided thrombin injection.

Main Methods:

  • A retrospective study of 167 patients with post-procedure pseudoaneurysms from March 2004 to January 2013.
  • Data collected from a prospectively maintained non-invasive vascular laboratory database.
  • 142 pseudoaneurysms treated with ultrasound-guided thrombin injection.

Main Results:

  • The primary success rate for thrombin injection was 93.5%.
  • Failure factors included larger aneurysm diameter, end-stage renal disease, and superficial femoral artery origin.
  • Two cases of femoral artery thrombus occurred, managed with anticoagulation or thrombectomy.

Conclusions:

  • Percutaneous ultrasound-guided thrombin injection is a safe and effective treatment for post-procedure pseudoaneurysms.
  • Low failure rates are associated with specific clinical factors, guiding management strategies.