Successful Balloon Assisted Percutaneous Thrombin Injection of Right Subclavian Artery Pseudoaneurysm

2017 ◽  
Vol 18 (5) ◽  
pp. e62-e65 ◽  
Author(s):  
Andrew D. Brown ◽  
Dhruvin H. Hirpara ◽  
Arash Jaberi ◽  
George D. Oreopoulos ◽  
Martin E. Simons
Keyword(s):  
Case Report ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Balloon Catheter ◽  
Thrombin Injection ◽  
Short Neck ◽  
Ultrasound Guided ◽  
Artery Pseudoaneurysm ◽  
Percutaneous Thrombin Injection

Purpose To report the use of a balloon catheter to facilitate percutaneous ultrasound-guided thrombin injection of a subclavian artery pseudoaneurysm. Case report A 36-year-old man presented with hoarseness after the insertion of a right temporary internal jugular line. Arteriography showed a short neck right subclavian artery pseudoaneurysm. A 6 mm × 40 mm balloon catheter was positioned across the neck of the pseudoaneurysm to permit percutaneous ultrasound-guided thrombin injection. Immediate post-treatment angiogram demonstrated no filling of the pseudoaneurysm. Seven-month clinical and imaging follow-up confirmed resolution of the pseudoaneurysm and hoarseness. Conclusions This clinical vignette highlights the potential of balloon catheter-assisted percutaneous ultrasound-guided thrombin injection as an alternative to open or endovascular repair of pseudoaneurysms of the subclavian arteries.

Posttraumatic Lingual Artery Pseudoaneurysm Treated with Ultrasound-Guided Percutaneous Thrombin Injection

2014 ◽  
Vol 28 (5) ◽  
pp. 1317.e11-1317.e15
Author(s):  
Pamela C. Masella ◽  
Megan M. Hanson ◽  
Brian T. Hall ◽  
John J. Verghese ◽  
Dwight C. Kellicut
Keyword(s):  
Lingual Artery ◽  
Thrombin Injection ◽  
Ultrasound Guided ◽  
Artery Pseudoaneurysm ◽  
Percutaneous Thrombin Injection

scholarly journals Balloon-Assisted Percutaneous Thrombin Injection for Treatment of Iatrogenic Left Subclavian Artery Pseudoaneurysm in a Critically Ill COVID-19 Patient

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Hassan Al-Thani ◽  
Ahmed Hussein ◽  
Ahmed Sadek ◽  
Ali Barah ◽  
Ayman El-Menyar
Keyword(s):  
Central Venous Catheter ◽  
Brachial Plexus ◽  
Critically Ill ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Venous Catheter ◽  
Thrombin Injection ◽  
Central Venous ◽  
Artery Pseudoaneurysm ◽  
Percutaneous Thrombin Injection

Background. Central venous catheter represents an important tool in the management of critically ill patient. In this report, we described a COVID-19-positive case who had COVID-related complications and iatrogenic left subclavian artery pseudoaneurysm after central venous catheter insertion. Case Presentation. A 58-year-old male patient presented with a high-grade fever, myalgia, and shortness of breath due to COVID-19 infection. He required mechanical ventilation support and hemodialysis. He also developed uneventful deep vein thrombosis and myocardial infarction. As a complication of central line insertion, the patient developed pseudoaneurysm that originated from the subclavian artery with significant bleeding and large hematoma. Balloon-assisted percutaneous thrombin injection was done under ultrasound guidance. The patient was extubated 2 days later with no evidence of flow in the pseudoaneurysm. However, he lost movement in the left arm secondary to the compression of the brachial plexus from the pseudoaneurysm/hematoma, and therefore, 1.5 litres of the hematoma was evacuated in the operating room through a lateral left chest wall incision along the anterior axillary line to relieve the compression over the brachial plexus. The patient declined surgical reconstruction of the brachial plexus, and the flaccid paralysis of the arm did not recover during the follow-up. Conclusion. This is a case of unusual complications of COVID infection and iatrogenic left subclavian artery pseudoaneurysm postcentral vein cannulation. Balloon-assisted percutaneous thrombin injection for treatment of left subclavian artery pseudoaneurysm is feasible; however, delayed diagnosis could be associated with long-term or permanent disability.

scholarly journals Coil embolization of inferior epigastric artery pseudoaneurysm after percutaneous thrombin injection failure: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 6562 ◽  
Author(s):  
Miltiadis Krokidis ◽  
Adam Hatzidakis ◽  
John Petrakis ◽  
Theodoros Lagoudis ◽  
Dimitrios Tsetis
Keyword(s):  
Case Report ◽  
Coil Embolization ◽  
Thrombin Injection ◽  
Inferior Epigastric Artery ◽  
Artery Pseudoaneurysm ◽  
Epigastric Artery ◽  
Percutaneous Thrombin Injection
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