To report the use of a balloon catheter to facilitate percutaneous ultrasound-guided thrombin injection of a subclavian artery pseudoaneurysm.
A 36-year-old man presented with hoarseness after the insertion of a right temporary internal jugular line. Arteriography showed a short neck right subclavian artery pseudoaneurysm. A 6 mm × 40 mm balloon catheter was positioned across the neck of the pseudoaneurysm to permit percutaneous ultrasound-guided thrombin injection. Immediate post-treatment angiogram demonstrated no filling of the pseudoaneurysm. Seven-month clinical and imaging follow-up confirmed resolution of the pseudoaneurysm and hoarseness.
This clinical vignette highlights the potential of balloon catheter-assisted percutaneous ultrasound-guided thrombin injection as an alternative to open or endovascular repair of pseudoaneurysms of the subclavian arteries.
J Vasc Access 2017; 18(5): e62 - e65
Article Type: CASE REPORT
AuthorsAndrew D. Brown, Dhruvin H. Hirpara, Arash Jaberi, George D. Oreopoulos, Martin E. Simons
- • Accepted on 09/01/2017
- • Available online on 11/04/2017
- • Published online on 11/09/2017
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- Brown, Andrew D. [PubMed] [Google Scholar] 1, * Corresponding Author (email@example.com)
- Hirpara, Dhruvin H. [PubMed] [Google Scholar] 2
- Jaberi, Arash [PubMed] [Google Scholar] 1
- Oreopoulos, George D. [PubMed] [Google Scholar] 1, 3
- Simons, Martin E. [PubMed] [Google Scholar] 1
Division of Vascular and Interventional Radiology, Department of Medical Imaging, Toronto General Hospital-University Health Network/University of Toronto, Toronto - Canada
Faculty of Medicine, University of Toronto, Toronto - Canada
Division of Vascular Surgery, Department of Surgery, Toronto General Hospital-University Health Network/University of Toronto, Toronto - Canada
Andrew D. Brown and Dhruvin H. Hirpara contributed equally to this manuscript.