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Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients

BACKGROUND: Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas. METHODS: A ret...

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Autores principales: Sundararajan, Sri Hari, Murillo, Phillip, Khan, Adam, Gendel, Vyacheslav, Gribbin, Christopher, Roychowdhury, Sudipta, Nosher, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770383/
https://www.ncbi.nlm.nih.gov/pubmed/26929774
http://dx.doi.org/10.1186/s13032-016-0034-9
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author Sundararajan, Sri Hari
Murillo, Phillip
Khan, Adam
Gendel, Vyacheslav
Gribbin, Christopher
Roychowdhury, Sudipta
Nosher, John
author_facet Sundararajan, Sri Hari
Murillo, Phillip
Khan, Adam
Gendel, Vyacheslav
Gribbin, Christopher
Roychowdhury, Sudipta
Nosher, John
author_sort Sundararajan, Sri Hari
collection PubMed
description BACKGROUND: Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas. METHODS: A retrospective review of 5 patient cases treated under this paradigm was performed following institutional review board approval. Outcomes following intervention were recorded and compared amongst the patient cohort. RESULTS: Ultrasound-guided closure of traumatic pseudoaneurysms allowed for reduced procedural times and procedural invasiveness. CONCLUSIONS: As demonstrated by the following cases, ultrasound guided thrombin injection is a good method of primary treatment for superficial pseudoaneurysms, or as an alternative treatment in cases where transcatheter embolization fails.
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spelling pubmed-47703832016-03-01 Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients Sundararajan, Sri Hari Murillo, Phillip Khan, Adam Gendel, Vyacheslav Gribbin, Christopher Roychowdhury, Sudipta Nosher, John J Trauma Manag Outcomes Short Report BACKGROUND: Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas. METHODS: A retrospective review of 5 patient cases treated under this paradigm was performed following institutional review board approval. Outcomes following intervention were recorded and compared amongst the patient cohort. RESULTS: Ultrasound-guided closure of traumatic pseudoaneurysms allowed for reduced procedural times and procedural invasiveness. CONCLUSIONS: As demonstrated by the following cases, ultrasound guided thrombin injection is a good method of primary treatment for superficial pseudoaneurysms, or as an alternative treatment in cases where transcatheter embolization fails. BioMed Central 2016-02-23 /pmc/articles/PMC4770383/ /pubmed/26929774 http://dx.doi.org/10.1186/s13032-016-0034-9 Text en © Sundararajan et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Short Report
Sundararajan, Sri Hari
Murillo, Phillip
Khan, Adam
Gendel, Vyacheslav
Gribbin, Christopher
Roychowdhury, Sudipta
Nosher, John
Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title_full Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title_fullStr Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title_full_unstemmed Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title_short Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
title_sort ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770383/
https://www.ncbi.nlm.nih.gov/pubmed/26929774
http://dx.doi.org/10.1186/s13032-016-0034-9
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