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2018 | 18 | 73 | 85–89
Article title

Ultrasound-guided thrombin injection in the management of pseudoaneurysm after percutaneous arterial access

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Title variants
PL
Wstrzyknięcie trombiny pod kontrolą ultrasonografii w leczeniu tętniaków rzekomych po zabiegach z przezskórnego dostępu tętniczego
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Abstracts
EN
Aim: The purpose of this paper was to evaluate the efficacy of ultrasound-guided percutaneous thrombin injection as a treatment method for arterial access site pseudoaneurysm. Materials and methods: A total of 148 patients with iatrogenic arterial access site pseudoaneurysms were treated in the Department of Interventional Radiology and Neuroradiology, Medical University of Lublin. Of those, 142 pseudoaneurysms were located in the common femoral artery, 3 in the brachial artery and the remaining 3 in the radial artery. The study included 77 woman and 71 men (mean age 64.5 ± 14 years). Patients were qualified for percutaneous thrombin injection after Doppler examination during which pseudoaneurysm size and morphology were assessed as well as the presence of arteriovenous fistula was excluded. Results: In the reported study, 94.8% (128/135) of patients were successfully treated during the initial thrombin injection. Additional 400 IU dose of thrombin after 24 hours was effective in 5 out of 7 patients with recanalization during the follow-up. A total of 98.5% (133/135) of patients were successfully treated with a percutaneous ultrasound-guided thrombin injection. Conclusions: The 10-year experience presented in this study as well as literature reports prove that percutaneous ultrasound-guided thrombin injection is an effective and safe treatment method for iatrogenic arterial access site pseudoaneurysm.
PL
Cel pracy: Celem pracy była ocena skuteczności przezskórnego wstrzyknięcia trombiny pod kontrolą ultrasonografii jako sposobu leczenia tętniaka rzekomego w miejscu dostępu tętniczego. Materiał i metody: W Zakładzie Radiologii Zabiegowej i Neuroradiologii Uniwersytetu Medycznego w Lublinie leczeniu poddano 148 pacjentów z jatrogennymi tętniakami rzekomymi w miejscu dostępu tętniczego, przy czym 142 pseudotętniaki były umiejscowione w tętnicy udowej wspólnej, 3 w tętnicy ramiennej oraz pozostałe 3 w tętnicy promieniowej. W badaniu udział wzięło 77 kobiet i 71 mężczyzn (średni wiek 64,5 ± 14 lat). Pacjentów kwalifikowano do przezskórnego wstrzyknięcia trombiny po wykonaniu badania ultrasonograficznego z funkcją dopplera w celu oceny wielkości i morfologii tętniaka rzekomego oraz wykluczenia obecności przetoki tętniczo-żylnej. Wyniki: W przedstawionym badaniu skuteczność leczenia po pierwszym wstrzyknięciu trombiny uzyskano u 94,8% (128/135) pacjentów. Dodatkowa dawka trombiny wynosząca 400 j.m. podana po upływie 24 godzin okazała się skuteczna u 5 na 7 pacjentów, u których podczas badania kontrolnego stwierdzono rekanalizację. Skuteczność leczenia metodą przezskórnego wstrzyknięcia trombiny pod kontrolą ultrasonografii uzyskano u 98,5% (133/135) badanych. Wnioski: Z przedstawionego w niniejszej pracy 10-letniego doświadczenia oraz doniesień z piśmiennictwa wynika, że przezskórna podaż trombiny pod kontrolą ultrasonografii stanowi skuteczną i bezpieczną metodę leczenia jatrogennych tętniaków rzekomych w miejscu dostępu tętniczego.
Discipline
Publisher

Year
Volume
18
Issue
73
Pages
85–89
Physical description
Contributors
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
author
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland, jan.sobstyl@gmail.com
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
author
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
author
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
  • Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
author
  • Department of Radiology and Nuclear Medicine, Otto von Guericke University, Magdeburg, Germany
  • Department of Radiology and Nuclear Medicine, Otto von Guericke University, Magdeburg, Germany
References
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Document Type
article
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YADDA identifier
bwmeta1.element.psjd-43428c1d-b12a-4f93-b8e5-a6f4b1fdb1d4
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