Document Detail


Treatment of radial and ulnar artery pseudoaneurysms using percutaneous thrombin injection.
MedLine Citation:
PMID:  15465248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudoaneurysm formation is a recognized complication of arterial catheterization or traumatic arterial disruption, which may lead to considerable morbidity. Ultrasound-guided thrombin injection has been shown to be effective in the treatment of peripheral pseudoaneurysms; however, its application in the management of radial or ulnar artery pseudoaneurysms has not been well established. Arterial thrombosis and distal embolization are concerns when treating a pseudoaneurysm involving a small vessel. We performed successful ultrasound-guided thrombin injection of a 3-cm radial artery and a 2.5-cm ulnar artery pseudoaneurysm resulting from arterial catheterization and missed arterial trauma, respectively. Radial artery recannalization occurred 28 days after the procedure whereas the ulnar artery remained patent throughout the observation period.
Authors:
Ewa Komorowska-Timek; Theodore H Teruya; Ahmed M Abou-Zamzam; Diane Papa; Jeffrey L Ballard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  29     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2005-04-22     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  936-42     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Department of Surgery, Loma Linda University, Loma Linda, CA 92534, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / drug therapy*,  ultrasonography
Female
Hemostatics / administration & dosage*
Humans
Iatrogenic Disease
Injections, Intradermal / methods
Male
Middle Aged
Radial Artery* / ultrasonography
Thrombin / administration & dosage*
Treatment Outcome
Ulnar Artery* / ultrasonography
Chemical
Reg. No./Substance:
0/Hemostatics; EC 3.4.21.5/Thrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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