When assisting with pseudoaneurysm thrombin injection What is the typical post injection follow up scan time?

Follow up at 24-48 hours showed complete thrombosis and regression of pseudoaneurysm in all the patients except one in whom a small residual sac was seen which thrombosed completely on second thrombin injection. Further follow up at one month showed regression of aneurysms in all the cases.

How do you manage pseudoaneurysm?

Currently the treatment options for pseudoaneurysms include ultrasound guided compression (USGC), thrombin therapy, arterial embolisation, endovascular stent graft insertion and surgery.

What is ultrasound guided compression of pseudoaneurysm?

Ultrasound-guided compression repair of a pseudoaneurysm is a simple, safe and effective therapy, and has been proposed as a first-line treatment for pseudoaneurysms caused by catheterization. Herein, we report a case of a pseudoaneurysm arising from a sport injury which was treated by this method.

How long does a thrombin injection take?

Injection of thrombin was well tolerated by all patients. Procedure times ranged from 1 to 5 minutes.

Is there an ultrasound guided thrombin injection for pseudoaneurysm?

However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas.

Is it safe to have ultrasound guided thrombin injection?

Faulty puncture technique is an important risk factor for the development of post-catheterization femoral artery pseudoaneurysm. Ultrasound-guided thrombin injection is a safe, rapid, well-tolerated, inexpensive and successful therapy.

How is a pseudoaneurysm treated after a catheterization?

Pseudoaneurysms can be treated with observation, ultrasound guided compression, thrombin injection, endovascular covered stent placement across the neck or surgical ligation. This article will outline the technique for post-catheterization pseudoaneurysm thrombin injection.

Can a small pseudoaneurysm cause arterial thrombosis?

The most common contraindications include the following: A small pseudoaneurysm with a short, wide neck poses a potential risk for thrombin to flow from the sac, through the neck, and into the adjacent artery. This can result in arterial thrombosis and limb ischemia.