Thrombin injection for acute hemorrhage following angiography

Femoral arterial puncture is the main access for diagnostic and therapeutic intervention in vascular disease. Significant complications are unusual and include uncontrolled bleeding which usually requires surgery. We report the use of ultrasound-guided thrombin injection that prevented any immediate...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2007-07, Vol.30 (4), p.786-788
Main Authors: Richards, T, Mussai, F J, Phillips-Hughes, J, Uberoi, R, Boardman, P
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Aged, 80 and over
Angiography
Angiography, Digital Subtraction
Angioplasty, Balloon
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
Female
Femoral Artery - surgery
HEMORRHAGE
Humans
INJECTION
Injections
Ischemia - diagnostic imaging
Ischemia - therapy
Leg - blood supply
Postoperative Hemorrhage - diagnosis
Postoperative Hemorrhage - drug therapy
Punctures
RADIOLOGY AND NUCLEAR MEDICINE
SURGERY
THROMBIN
Thrombin - administration & dosage
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex
VASCULAR DISEASES
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Summary:Femoral arterial puncture is the main access for diagnostic and therapeutic intervention in vascular disease. Significant complications are unusual and include uncontrolled bleeding which usually requires surgery. We report the use of ultrasound-guided thrombin injection that prevented any immediate need for surgery in 2 cases of uncontrolled bleeding following femoral arteriography. Clinical presentations and treatment are reported, together with a review of the literature.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-007-9086-6