BACKGROUND: Iatrogenic pseudoaneurysm is observed in 0.5% to 2% of diagnostic percutaneous proced... more BACKGROUND: Iatrogenic pseudoaneurysm is observed in 0.5% to 2% of diagnostic percutaneous procedures and in up to 7% to 8% of therapeutic percutaneous procedures. Pseudoaneurysm occlusion by ultrasound-guided thrombin injection directly in the aneurysm sac is a minimally invasive, quick and safe procedure with a high success rate. The aim of our study is to report our initial experience in treatment of iatrogenic pseudoaneurysms by ultrasound-guided thrombin injection METHOD: Between September 2006 and February 2010, 1,811 percutaneous coronary interventions were carried out with an occurrence of 15 pseudoaneurysms (0.8%), of which 13 were consecutively treated by ultrasound-guided thrombin injection. Clinical characteristics, type of percutaneous procedure, adjuvant therapy, size and morphology of pseudoaneurysms, thrombin dose, success and complication rate were prospectively documented and later retrospectively analyzed RESULTS: Primary success rate was 100% with just one recurr...
BACKGROUND: Vascular occlusion devices were developed to enable immediate sheath removal and mini... more BACKGROUND: Vascular occlusion devices were developed to enable immediate sheath removal and minimize puncture site complications in patients undergoing endovascular interventions. Some studies, however, have shown no reduction of these complications. This study was aimed at assessing the cost-effectiveness of immediate femoral sheath removal and occlusion with the AngioSealTM vascular occlusion device vs occlusion by manual and/or mechanical compression after endovascular interventions. METHODS: Patients undergoing endovascular interventions from September 2006 to January 2009 were studied to evaluate technique outcomes, complications and costs due to the use of devices and treatment of puncture site complications. The sample was divided into the vascular closure device group (VCD Group), with 95 patients submitted to extra-cardiac interventions, and the manual and/or mechanical compression group (MC Group) with 312 patients undergoing percutaneous coronary interventions. RESULTS: ...
BACKGROUND: Iatrogenic pseudoaneurysm is observed in 0.5% to 2% of diagnostic percutaneous proced... more BACKGROUND: Iatrogenic pseudoaneurysm is observed in 0.5% to 2% of diagnostic percutaneous procedures and in up to 7% to 8% of therapeutic percutaneous procedures. Pseudoaneurysm occlusion by ultrasound-guided thrombin injection directly in the aneurysm sac is a minimally invasive, quick and safe procedure with a high success rate. The aim of our study is to report our initial experience in treatment of iatrogenic pseudoaneurysms by ultrasound-guided thrombin injection METHOD: Between September 2006 and February 2010, 1,811 percutaneous coronary interventions were carried out with an occurrence of 15 pseudoaneurysms (0.8%), of which 13 were consecutively treated by ultrasound-guided thrombin injection. Clinical characteristics, type of percutaneous procedure, adjuvant therapy, size and morphology of pseudoaneurysms, thrombin dose, success and complication rate were prospectively documented and later retrospectively analyzed RESULTS: Primary success rate was 100% with just one recurr...
BACKGROUND: Vascular occlusion devices were developed to enable immediate sheath removal and mini... more BACKGROUND: Vascular occlusion devices were developed to enable immediate sheath removal and minimize puncture site complications in patients undergoing endovascular interventions. Some studies, however, have shown no reduction of these complications. This study was aimed at assessing the cost-effectiveness of immediate femoral sheath removal and occlusion with the AngioSealTM vascular occlusion device vs occlusion by manual and/or mechanical compression after endovascular interventions. METHODS: Patients undergoing endovascular interventions from September 2006 to January 2009 were studied to evaluate technique outcomes, complications and costs due to the use of devices and treatment of puncture site complications. The sample was divided into the vascular closure device group (VCD Group), with 95 patients submitted to extra-cardiac interventions, and the manual and/or mechanical compression group (MC Group) with 312 patients undergoing percutaneous coronary interventions. RESULTS: ...
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