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Thrombin PSA Repair
Sriharsha Gummadi, MD; Andrej Lyshchik, MD, PhD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • US-guided thrombin injection (UGTI)
              • US-guided compression (USGC)
              • Pseudoaneurysm (PSA)
            • Synonyms

              • Thrombin closure of PSA
            • Definitions

              • Percutaneous thrombin injection to treat persistent flow of blood into cavity or space beyond walls of parent vessel, contained only by adventitia or perivascular soft tissue

            PREPROCEDURE

            • Indications

              • Contraindications

                • Preprocedure Imaging

                  • Getting Started

                    PROCEDURE

                    • Patient Position/Location

                      • Equipment Preparation

                        • Procedure Steps

                          • Findings and Reporting

                            • Alternative Procedures/Therapies

                              POST PROCEDURE

                              • Expected Outcome

                                • Things To Do

                                  • Things To Avoid

                                    OUTCOMES

                                    • Problems

                                      • Complications

                                        Selected References

                                        1. Esterson YB et al: Recurrence of thrombin-injected pseudoaneurysms under ultrasound guidance: A 10-year retrospective analysis. J Ultrasound Med. 36(8):1617-1624, 2017
                                        2. Papadakis M et al: Iatrogenic femoral pseudoaneurysm and secondary ipsilateral deep vein thrombosis: An indication for early surgical exploration. Ann Vasc Surg. 34:269.e13-5, 2016
                                        3. Hemp JH et al: Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol. 18(1):14-23, 2015
                                        4. Stone PA et al: Femoral pseudoaneurysms after percutaneous access. J Vasc Surg. 60(5):1359-66, 2014
                                        5. Hall HA et al: Peripheral artery aneurysm. Surg Clin North Am. 93(4):911-23, ix, 2013
                                        6. Tisi PV et al: Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev. CD004981, 2013
                                        7. Kalapatapu VR et al: Pseudoaneurysm: a review. Curr Treat Options Cardiovasc Med. 10(2):173-83, 2008
                                        8. Etemad-Rezai R et al: Ultrasound-guided thrombin injection of femoral artery pseudoaneurysms. Can Assoc Radiol J. 54(2):118-20, 2003
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Preprocedure

                                            • Procedure

                                              • Post Procedure

                                                • Outcomes

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • US-guided thrombin injection (UGTI)
                                                    • US-guided compression (USGC)
                                                    • Pseudoaneurysm (PSA)
                                                  • Synonyms

                                                    • Thrombin closure of PSA
                                                  • Definitions

                                                    • Percutaneous thrombin injection to treat persistent flow of blood into cavity or space beyond walls of parent vessel, contained only by adventitia or perivascular soft tissue

                                                  PREPROCEDURE

                                                  • Indications

                                                    • Contraindications

                                                      • Preprocedure Imaging

                                                        • Getting Started

                                                          PROCEDURE

                                                          • Patient Position/Location

                                                            • Equipment Preparation

                                                              • Procedure Steps

                                                                • Findings and Reporting

                                                                  • Alternative Procedures/Therapies

                                                                    POST PROCEDURE

                                                                    • Expected Outcome

                                                                      • Things To Do

                                                                        • Things To Avoid

                                                                          OUTCOMES

                                                                          • Problems

                                                                            • Complications

                                                                              Selected References

                                                                              1. Esterson YB et al: Recurrence of thrombin-injected pseudoaneurysms under ultrasound guidance: A 10-year retrospective analysis. J Ultrasound Med. 36(8):1617-1624, 2017
                                                                              2. Papadakis M et al: Iatrogenic femoral pseudoaneurysm and secondary ipsilateral deep vein thrombosis: An indication for early surgical exploration. Ann Vasc Surg. 34:269.e13-5, 2016
                                                                              3. Hemp JH et al: Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol. 18(1):14-23, 2015
                                                                              4. Stone PA et al: Femoral pseudoaneurysms after percutaneous access. J Vasc Surg. 60(5):1359-66, 2014
                                                                              5. Hall HA et al: Peripheral artery aneurysm. Surg Clin North Am. 93(4):911-23, ix, 2013
                                                                              6. Tisi PV et al: Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev. CD004981, 2013
                                                                              7. Kalapatapu VR et al: Pseudoaneurysm: a review. Curr Treat Options Cardiovasc Med. 10(2):173-83, 2008
                                                                              8. Etemad-Rezai R et al: Ultrasound-guided thrombin injection of femoral artery pseudoaneurysms. Can Assoc Radiol J. 54(2):118-20, 2003