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Endovascular Interventions pp 841–848Cite as

Access-Related Pseudoaneurysm and Complications of Thrombin Injection

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Abstract

Pseudoaneurysm formation is the most common complication following percutaneous femoral access. Currently, ultrasound remains the easiest and least invasive way of identifying and quantifying a pseudoaneurysm. The decision to intervene on a pseudoaneurysm is based upon size and a patient’s individual clinical situation, such as the need for anticoagulation. Those pseudoaneurysms that are larger than the 2–3 cm size threshold or pseudoaneurysms in patients who will need long-term anticoagulation are much less likely to resolve without some sort of intervention. Two cases presented here demonstrate basic technical aspects and decisions when using percutaneous injection of thrombin to induce thrombosis, perhaps the most popular technique currently employed today. Thrombin injection has been reported in multiple studies to have success rates of between 93 and 98 %. Complications associated with thrombin injection are infrequently reported with one meta-analysis publishing a complication rate of less than 1 % with the most frequent complication being distal embolization.

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Author information

Authors and Affiliations

  1. Department of Surgery, Cooper University Hospital, 3 Cooper Plaza, Suite 411, Camden, NJ, 08103, USA

    Jose L. Trani Jr. MD

  2. Department of Surgery, Cooper Medical School of Rowan University, Cooper University Hospital, 3 Cooper Plaza, Suite 411, Camden, NJ, 08103, USA

    Jeffrey P. Carpenter MD

Authors
  1. Jose L. Trani Jr. MD
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  2. Jeffrey P. Carpenter MD
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Editor information

Editors and Affiliations

  1. Edward Hines, Jr. VA Hospital Loyola University Medical Center, Glen Ellyn, Illinois, USA

    Robert S. Dieter

  2. Northern Illinois Surgery Center, Naperville, Illinois, USA

    Raymond A. Dieter, Jr.

  3. University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

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© 2014 Springer Science+Business Media New York

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Trani, J.L., Carpenter, J.P. (2014). Access-Related Pseudoaneurysm and Complications of Thrombin Injection. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_68

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  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_68

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

  • eBook Packages: MedicineMedicine (R0)

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