Abstract
BackgroundAngiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas.MethodsA retrospective review of 5 patient cases treated under this paradigm was performed following institutional review board approval. Outcomes following intervention were recorded and compared amongst the patient cohort.ResultsUltrasound-guided closure of traumatic pseudoaneurysms allowed for reduced procedural times and procedural invasiveness.ConclusionsAs demonstrated by the following cases, ultrasound guided thrombin injection is a good method of primary treatment for superficial pseudoaneurysms, or as an alternative treatment in cases where transcatheter embolization fails.
Highlights
Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms
Cope and Zeit introduced the use of thrombin for inducing thrombosis of pseudoaneurysms in the medical
A retrospective review of 5 non-SFA pseudoaneurysm patients treated between July and November 2015 under this paradigm was performed following institutional IRB approval
Summary
Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. The clinical utility of ultrasound-guided thrombin injection has been documented regarding inducing therapeutic thrombosis in superficial femoral artery pseudoaneurysms [4,5,6,7]. Upon confirmation of hemodynamic stability, the patient was considered a good candidate for initial assessment with color Doppler ultrasound examination of the left anterior abdominal wall, confirming the presence of a pseudoaneurysm (Fig. 1b).
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