Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2023)

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

  • Temirlan Kh. Gamzatov, MD, PhD,
  • Aleksei V. Kebriakov, MD,
  • Alexei V. Svetlikov, MD, DSc (Medicine),
  • Viktor A. Kashchenko, MD, DSc (Medicine),
  • Vyacheslav A. Ratnikov, MD, DSc (Medicine),
  • Victor S. Gurevich, MD, DSc (Medicine)

Journal volume & issue
Vol. 9, no. 3
p. 101223

Abstract

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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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