Pseudoaneurysm temporary embolization as a new method for the management of catheter-related complication

A new minimally invasive method for the management of catheter-related pseudoaneurysms (PSAs) using percutaneous temporary guidewire embolization (TGE) is presented. We performed percutaneous insertion of a flexible 0.018-in. guidewire into the PSA cavity under ultrasound guidance. Once thrombosis o...

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Detalles Bibliográficos
Autores principales: Gamzatov, Temirlan Kh., Kebriakov, Aleksei V., Svetlikov, Alexei V., Kashchenko, Viktor A., Ratnikov, Vyacheslav A., Gurevich, Victor S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Innovative technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474454/
https://www.ncbi.nlm.nih.gov/pubmed/37662561
http://dx.doi.org/10.1016/j.jvscit.2023.101223
Descripción
Sumario:A new minimally invasive method for the management of catheter-related pseudoaneurysms (PSAs) using percutaneous temporary guidewire embolization (TGE) is presented. We performed percutaneous insertion of a flexible 0.018-in. guidewire into the PSA cavity under ultrasound guidance. Once thrombosis of the PSA cavity was achieved, the guidewire was removed. In all seven cases, TGE was technically feasible and achieved complete thrombosis of the PSA. The time required for PSA thrombosis from insertion to removal of the guidewire ranged from 5 to 40 minutes. TGE is a highly effective, safe, and minimally invasive treatment of PSA.

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