US-guided percutaneous thrombin injection of postcatheterization pseudoaneurysms

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dc.contributor.authorGurel, Kamil
dc.contributor.authorGur, Serkan
dc.contributor.authorOzkan, Ugur
dc.contributor.authorTekbas, Guven
dc.contributor.authorOnder, Hakan
dc.contributor.authorOguzkurt, Levent
dc.date.accessioned2024-04-24T17:24:23Z
dc.date.available2024-04-24T17:24:23Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractPURPOSE This study retrospectively evaluated ultrasonography-guided (US-guided) percutaneous thrombin injection for the treatment of postcatheterization femoral and brachial artery pseudoaneurysms. MATERIALS AND METHODS Fifty-five patients with postcatheterization femoral artery (n=53) or brachial artery (n=2) pseudoaneurysms were treated using US-guided human thrombin (500 IU/mL) injection. Pseudoaneurysm size, thrombin dose, therapy outcome, and complications were documented. Follow-up color Doppler US was performed 7 and 30 days after treatment. Short-duration supplemental compression was applied to six patients at the first week follow-up examination after a reinjection of thrombin had failed. RESULTS Mean pseudoaneurysm volume was 20.3 +/- 18.7 cm(3). The mean injected thrombin dose was 478 +/- 238 IU. Thirty-eight (69.1%) of the 55 pseudoaneurysms were thrombosed with a single injection, and 11 of 17 pseudoaneurysms were thrombosed after a second injection. All (100%) of the 41 pseudoaneurysms that were diagnosed within the first two weeks of postcatheterization were successfully treated. The overall primary success rate was 89.1% (49 of 55 pseudoaneurysms). Supplemental compression promoted thrombosis in four of the six patients who had treatment failure with thrombin injection. The secondary success rate was 96.4% (53 of 55 pseudoaneurysms). There were no complications. CONCLUSION US-guided thrombin injection was most successful within the first two weeks, and the supplemental compression might aid in the closure of partially thrombosed pseudoaneurysms.en_US
dc.identifier.doi10.4261/1305-3825.DIR.4933-11.1
dc.identifier.endpage325en_US
dc.identifier.issn1305-3825
dc.identifier.issue3en_US
dc.identifier.pmid22198911
dc.identifier.scopus2-s2.0-84861522707
dc.identifier.scopusqualityQ2
dc.identifier.startpage319en_US
dc.identifier.urihttps://doi.org/10.4261/1305-3825.DIR.4933-11.1
dc.identifier.urihttps://hdl.handle.net/11468/19645
dc.identifier.volume18en_US
dc.identifier.wosWOS:000316061000013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Soc Radiologyen_US
dc.relation.ispartofDiagnostic and Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPseudoaneurysmen_US
dc.subjectTherapeutic Embolizationen_US
dc.subjectThrombinen_US
dc.titleUS-guided percutaneous thrombin injection of postcatheterization pseudoaneurysmsen_US
dc.titleUS-guided percutaneous thrombin injection of postcatheterization pseudoaneurysms
dc.typeArticleen_US

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