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

Temirlan Kh Gamzatov; Aleksei V Kebriakov; Alexei V Svetlikov; Viktor A Kashchenko; Vyacheslav A Ratnikov; Victor S Gurevich

doi:10.1016/j.jvscit.2023.101223

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

J Vasc Surg Cases Innov Tech. 2023 May 23;9(3):101223. doi: 10.1016/j.jvscit.2023.101223. eCollection 2023 Sep.

Authors

Temirlan Kh Gamzatov¹, Aleksei V Kebriakov^{1

2}, Alexei V Svetlikov^{1

2}, Viktor A Kashchenko^{3

2}, Vyacheslav A Ratnikov^{4

5}, Victor S Gurevich^{6

5

7}

Affiliations

¹ North-Western District Scientific and Clinical Center Named After L. G. Sokolov Federal Medical and Biological Agency - Vascular Surgery Department, Saint Petersburg, Russia.
² Saint-Petersburg University - Faculty Surgery Department, Saint Petersburg, Russia.
³ North-Western District Scientific and Clinical Center Named After L. G. Sokolov Federal Medical and Biological Agency - Surgery Department, Saint Petersburg, Russia.
⁴ North-Western District Scientific and Clinical Center Named After L. G. Sokolov Federal Medical and Biological Agency - Administration, Saint Petersburg, Russia.
⁵ Saint-Petersburg University - Medicine Faculty, Saint Petersburg, Russia.
⁶ North-Western District Scientific and Clinical Center Named After L. G. Sokolov Federal Medical and Biological Agency - Center for the Treatment of Atherosclerosis and Lipid Metabolism Disorders, Saint Petersburg, Russia.
⁷ North-Western State Medical University named After I.I. Mechnikov - Hospital Therapy and Cardiology named After M.S. Kushakovsky Department, Saint Petersburg, Russia.

Abstract

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.

Keywords: Percutaneous treatment; Pseudoaneurysm; Puncture site complications; Temporary guidewire embolization.