Indian Journal of Vascular and Endovascular Surgery

CASE REPORT
Year
: 2022  |  Volume : 9  |  Issue : 3  |  Page : 253--255

Ultrasound-Guided thrombin injection of a pseudoaneurysm with concomitant deep vein thrombosis


Mark Awad, Enrico Ascher, Natalie Marks, Anil Hingorani 
 Department of Vascular and Endovascular Surgery, Vascular Institute of New York, New York, USA

Correspondence Address:
Mark Awad
Department of Vascular and Endovascular Surgery, Vascular Institute of New York, New York
USA

The formation of a pseudoaneurysm (PSA) is one of the most common complications following arterial catheterization. These pseudoaneurysms have the potential to cause life-threatening complications. One such extremely uncommon complication is the development of deep vein thrombosis (DVTs). Successful treatment of a PSA can be hindered in patients receiving anticoagulants and special considerations are necessary in such cases. We present a 70-year-old female who developed a postarterial catheterization PSA which was treated with Ultrasound-Guided Thrombin Injection (UGTI) while the patient was receiving apixaban for treatment of a PSA-induced DVT. Peri-procedural imaging helped correctly identify this complex pathology, guide thrombin injection, and observe in real-time instantaneous thrombosis of the PSA while confirming adjacent femoral artery patency. Given the risk of associated complications, patients with a PSA who are receiving anticoagulation should undergo an UGTI for PSA closure. Anticoagulation may cause difficulty in achieving complete thrombosis of PSAs, but recent research has suggested that UGTI remains the preferred method with high overall success rates. Patients receiving anticoagulation undergoing this procedure may benefit from serial postprocedure duplex scans to assess for incomplete PSA closure, thrombosis, or recurrence.


How to cite this article:
Awad M, Ascher E, Marks N, Hingorani A. Ultrasound-Guided thrombin injection of a pseudoaneurysm with concomitant deep vein thrombosis.Indian J Vasc Endovasc Surg 2022;9:253-255


How to cite this URL:
Awad M, Ascher E, Marks N, Hingorani A. Ultrasound-Guided thrombin injection of a pseudoaneurysm with concomitant deep vein thrombosis. Indian J Vasc Endovasc Surg [serial online] 2022 [cited 2022 Dec 5 ];9:253-255
Available from: https://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=3;spage=253;epage=255;aulast=Awad;type=0