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Successful balloon assisted percutaneous thrombin injection of right subclavian artery pseudoaneurysm

Successful balloon assisted percutaneous thrombin injection of right subclavian artery pseudoaneurysm

Post author correction

Article Type: CASE REPORT

Article Subject: Interventional radiology

DOI:10.5301/jva.5000694

Authors

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

Abstract

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

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.

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.

Article History

  • • Accepted on 09/01/2017
  • • Available online on 11/04/2017

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

  • Brown, Andrew D. [PubMed] [Google Scholar] 1, * Corresponding Author (andrew.brown@sloan.mit.edu)
  • Hirpara, Dhruvin H. [PubMed] [Google Scholar] 2
  • Jaberi, Arash [PubMed] [Google Scholar] 1
  • Oreopoulos, George D. [PubMed] [Google Scholar] 1, 3
  • Simons, Martin E. [PubMed] [Google Scholar] 1

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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