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Balloon-Assisted Thrombin Injection for Pseudoaneurysms with Wide or Short Neck Morphology 

Balloon-Assisted Thrombin Injection for Pseudoaneurysms with Wide or Short Neck Morphology
Chapter:
Balloon-Assisted Thrombin Injection for Pseudoaneurysms with Wide or Short Neck Morphology
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0021
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date: 29 January 2020

Pseudoaneurysms after cardiac catheterizations are not uncommon. Although most commonly they occur superficial to the common femoral artery, they are reported to occur at any location intentionally or unintentionally accessed. Ultrasound-assisted thrombin injection is a mainstay of therapy in appropriate patients. Although variations exist regarding the optimal location and amount of thrombin injection, the superior outcomes, low complication rate, and low cost associated with this method render great appeal to its utilization. This chapter describes an adjunctive technique (as well as a simple modification) to prevent the entrance of thrombin to the vasculature using a balloon to isolate the pseudoaneurysm. Although typically not necessary, this technique is valuable in the treatment of high-risk pseudoaneurysms and is well described in the literature.

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