Document Detail


Percutaneous thrombin injection of common carotid artery pseudoaneurysm without cerebral protection.
MedLine Citation:
PMID:  23109771     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 83-year-old man with sepsis sustained right common carotid artery injury during attempted central-line placement. A computed tomographic scan showed a large hematoma in the patient's neck and a carotid pseudoaneurysm. His clinical condition was such that transfer to the interventional suite was judged unsafe. Percutaneous thrombin injection was performed at the bedside under ultrasonographic guidance, but without protective temporary balloon occlusion. The procedure was successful, with no neurologic complications. At follow-up ultrasonographic evaluation, there was complete and sustained occlusion of the pseudoaneurysm.Emergent percutaneous treatment of common carotid artery pseudoaneurysm can be performed without temporary balloon occlusion for cerebral protection-in extreme circumstances, and at unknown risk.
Authors:
Sigridur M Moller; Karl Logason; Sigurbergur Karason; Hjalti M Thorisson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-30     Completed Date:  2013-04-10     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  696-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Landspitali University Hospital, Reykjavik, Iceland.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aneurysm, False / diagnosis,  drug therapy*,  etiology
Carotid Artery Injuries / diagnosis,  drug therapy*,  etiology
Carotid Artery, Common* / radiography,  ultrasonography
Catheterization, Central Venous / adverse effects
Hematoma / etiology
Humans
Injections, Intra-Arterial
Male
Thrombin / administration & dosage*
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Color
Ultrasonography, Interventional
Chemical
Reg. No./Substance:
EC 3.4.21.5/Thrombin
Comments/Corrections

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