Percutaneous artErial closure devices and ultrasound‐guided Trans‐femoRal puncture ObservatioNal InvestigatiOn : Insights from the PETRONIO registry

2021 ◽  
Author(s):  
Gianmarco Iannopollo ◽  
Giampiero Nobile ◽  
Valerio Lanzilotti ◽  
Alessandro Capecchi ◽  
Roberto Verardi ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Femoral Puncture

scholarly journals Safety and Effectiveness of Percutaneous Low-Dose Thrombin Injection for Femoral Puncture Site Pseudoaneurysms in Neurointervention: Single-Center Experience

2020 ◽  
Vol 15 (1) ◽  
pp. 25-30
Author(s):  
Jae Ho Shin ◽  
Yunsun Song ◽  
Jae Jon Sheen ◽  
Dongwhane Lee ◽  
Jaewoo Chung ◽  
...  
Keyword(s):  
Low Dose ◽  
Thrombin Injection ◽  
Procedure Time ◽  
Ultrasound Guided ◽  
Short Term ◽  
Single Center Experience ◽  
Femoral Puncture ◽  
Simple Compression ◽  
Group Sex

Purpose: We present ultrasound-guided percutaneous low-dose thrombin (200–250 IU) injection for the treatment of iatrogenic femoral pseudoaneurysms. Second, we compared patient and procedure factors between subcutaneous hematoma and pseudoaneurysm groups.Materials and Methods: From April 2012 to May 2018, 8425 patients underwent neurointervention. Among these patients, 18 had small subcutaneous hematomas and 6 had pseudoaneurysms. Pseudoaneurysms in the neck and entire sac were visualized, and low-dose thrombins were injected while visualizing a “whirlpool” hyperechoic core in the pseudoaneurysm sac. Subcutaneous hematomas were treated with simple compression. We compared the following parameters between the subcutaneous hematoma group and pseudoaneurysm group: sex, age, body mass index (BMI), type of procedure, heparin usage, sheath size, procedure time, and number of previous neurointervention procedures with the Mann-Whitney U test.Results: Most of the pseudoaneurysms were successfully occluded with 200 IU of thrombin (n=5). Only 1 pseudoaneurysm required a slightly higher thrombin concentration (250 IU, n=1). During the short-term follow-up, no residual sac was observed and no surgical repair was necessary. Pain in the groin region was alleviated. During the 1-month follow-up, no evidence of pseudoaneurysm recurrence nor subcutaneous hematoma was noted. Patient factors (sex, age, and BMI) and procedure factors (heparin usage, sheath size, procedure time, number of previous procedures) were not statistically different between the subcutaneous hematoma and pseudoaneurysm groups.Conclusion: Ultrasound-guided percutaneous low-dose thrombin injection (200–250 IU) is safe, effective, and less invasive for treating iatrogenic femoral pseudoaneurysm in neurointervention.

scholarly journals 470 Percutaneous arterial closure devices and ultrasound-guided trans-femoral puncture observational investigation: insights from the PETRONIO registry

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Gianmarco Iannopollo ◽  
Giampiero Nobile ◽  
Valerio Lanzilotti ◽  
Alessandro Capecchi ◽  
Roberto Verardi ◽  
...  
Keyword(s):  
Phase 1 ◽  
Control Period ◽  
Multivariable Analysis ◽  
Study Endpoint ◽  
Primary Study ◽  
Ultrasound Guided ◽  
Bleeding Events ◽  
Access Site ◽  
Arterial Access ◽  
Femoral Puncture

Abstract Aims To evaluate the safety of a single and combined use of ultrasound-guided femoral puncture (U) and percutaneous arterial closure devices (P) in femoral artery procedures (FAP) compared to fluoroscopic guidance (F) and manual compression (M) in a large radial-focused interventional centre. U and P, taken individually, have improved safety in femoral arterial access procedures compared to traditional techniques. Methods and results All FAP performed between July 2017 and December 2018 in our centre were divided into three phases: (i) control period with F and M mainly performed; (ii) phase out period where U and P were introduced; and (iii) intervention period where a 6-month expertise on the novel techniques was acquired. The overall population was further stratified into subgroups: F/M, U/M, F/P, and U/P. The primary study endpoint was in-hospital access site bleeding events (BE) according to the BARC criteria. The secondary endpoint was vascular site complications (VASC). 418 procedures (14%) out of 3025 were performed via FA access during the study period. The overall access-site in-hospital BE were 97 (23%). Decreasing rates of BE (phase 1: n = 46, 29%; phase 2: n = 38, 22% e phase 3: n = 13, 15%; P = 0.027) and VASC were observed during the three periods. BE occurred significantly more often in F/M group (F/M: n = 48; 32%; U/M: n = 12, 16%; F/P: n = 18, 21%; U/P: n = 19, 17%; P = 0.008). F/M subgroup was an independent predictor of BE both in multivariable analysis and propensity score matching analysis. Conclusions The introduction of ultrasound-guided femoral puncture and percutaneous arterial closure devices has reduced access site bleeding with a progressive improvement after the first 6 months learning period.

Perculaneous ultrasound guided radio frequency tissue ablation with wet electrodes for the treatment of primary and secondary liver tumors — A multicenter trial

2001 ◽  
Vol 120 (5) ◽  
pp. A559-A559
Author(s):  
J HAENSLER ◽  
A RAIBLE ◽  
W HOLTKAMP ◽  
M FRAUENDORF ◽  
A WITTE ◽  
...  
Keyword(s):  
Radio Frequency ◽  
Liver Tumors ◽  
Multicenter Trial ◽  
Tissue Ablation ◽  
Ultrasound Guided

Endoscopic ultrasound guided transrectal biopsies of pelvic tumors

2001 ◽  
Vol 120 (5) ◽  
pp. A475-A475
Author(s):  
M SAILER ◽  
D BUSSEN ◽  
M KRAEMER ◽  
M FEIN ◽  
S FREYS ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Pelvic Tumors

Abstract #596 Intrathyroidal Pseudoaneyrusm as a Complication of Ultrasound Guided Thyroid Biopsy

2019 ◽  
Vol 25 ◽  
pp. 306
Author(s):  
Tien-Hao Lee ◽  
Russell Gibson ◽  
Judith Giunta
Keyword(s):  
Ultrasound Guided

Symptomatic vascular complications after vascular closure device use following diagnostic and interventional catheterisation

VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger
Keyword(s):  
Current Literature ◽  
Vascular Complications ◽  
University Hospital ◽  
Closure Device ◽  
Ultrasound Guided ◽  
Vascular Closure Device ◽  
Device Use ◽  
Arterial Stenoses ◽  
The University ◽  
Stenotic Lesions

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.

Ultrasound-Guided Injection Helps Hit the Spot

2010 ◽  
Vol 40 (6) ◽  
pp. 34-35
Author(s):  
BRUCE JANCIN
Keyword(s):  
Ultrasound Guided
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