Occlusion of upper limb artery pseudoaneurysms with US-guided fibrin glue injection: a valid minimally invasive treatment option? Two case reports

Med Ultrason. 2023 Sep 29;25(3):355-358. doi: 10.11152/mu-3754. Epub 2022 Oct 3.

Abstract

Arterial pseudoaneurysms (PSAs) typically occur after (iatrogenic) damage (i.e., puncture) to the arterial wall and are the most frequent complication following percutaneous interventions.In this article we report on successful treatments of two iatrogenic PSAs in two patients (87-year-old male; 69-yearold-female) with a brachial (10 x 7 mm; 10 mm-length "neck") and radial (17 x 7 mm; 3 mm-length "neck") artery PSA by US-guided fibrin glue injection (UGFI). Both PSAs were effectively occluded without any complications. To our knowledge this is the first report on successful treatments of upper limb artery PSAs using UGFI, which may represent a valid first-line, minimally invasive treatment option for brachial artery PSA.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aneurysm, False* / diagnostic imaging
  • Aneurysm, False* / etiology
  • Aneurysm, False* / therapy
  • Arteries
  • Female
  • Femoral Artery / diagnostic imaging
  • Fibrin Tissue Adhesive / therapeutic use
  • Humans
  • Iatrogenic Disease
  • Male
  • Prostate-Specific Antigen
  • Treatment Outcome
  • Ultrasonography, Interventional
  • Upper Extremity

Substances

  • Fibrin Tissue Adhesive
  • Prostate-Specific Antigen