Recurrence of Dialysis Shunt Pseudoaneurysm FollowingPercutaneous Thrombin Embolization

We report an unusual case of a 58-year-old woman on maintenance hemodialysis who presented with an iatrogenic radial artery pseudoaneurysm proximal to a Cimino-Brescia fistula. The pseudoaneurysm was not amenable to ultrasonographic compression due to the vascular anatomy. The pseudoaneurysm recurre...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2001-12, Vol.24 (6), p.441-442
Main Authors: O'Neill, John MD, Jenkins David AS, Ireland, Hamish M
Format: Article
Language:English
Subjects:
Compression
Dialysis
Embolization
Hemodialysis
Pseudoaneurysm
Thrombin
Ultrasonic imaging
Ultrasound
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Summary:We report an unusual case of a 58-year-old woman on maintenance hemodialysis who presented with an iatrogenic radial artery pseudoaneurysm proximal to a Cimino-Brescia fistula. The pseudoaneurysm was not amenable to ultrasonographic compression due to the vascular anatomy. The pseudoaneurysm recurred despite initial successful response to two direct injections of thrombin on separate occasions. We highlight the role of ultrasound and thrombin injection in the treatment of pseudoaneurysm and emphasize the need for follow-up ultrasound examination to monitor recurrence.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-001-0057-z