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Successful balloon assisted percutaneous thrombin injection of right subclavian artery pseudoaneurysm

Abstract

Purpose

To report the use of a balloon catheter to facilitate percutaneous ultrasound-guided thrombin injection of a subclavian artery pseudoaneurysm.

Case report

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.

Conclusions

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

DOI:10.5301/jva.5000694

Authors

Andrew D. Brown, Dhruvin H. Hirpara, Arash Jaberi, George D. Oreopoulos, Martin E. Simons

Article History

Disclosures

Financial support: No grants or funding have been received related to this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

Affiliations

  • 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.

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