There are various non-invasive or minimally invasive techniques for management of pseudoaneurysms including ultrasound guided compression, ultrasound guided thrombin injection and covered stent placement. We report a case where a covered stent graft was successfully used for the treatment of a pseudoaneurysm directly arising from a PTFE graft which recurred 3 months following treatment with ultrasound guided thrombin injection.
RyanJ.M., DumbletonS.A., DohertyJ., SmithT.P.Technical innovation. Using a covered stent (wallgraft) to treat pseudoaneurysms of dialysis grafts and fistulas.AJR Am J Roentgenol2003; 180: 1067–71.
2.
WitzM., WernerM., BernheimJ., ShnakerA., LehmannJ., KorzetsZ.Ultrasound-guided compression repair of pseudoaneurysms complicating a forearm dialysis arteriovenous fistula.Nephrol Dial Transplant2000; 15: 1453–4.
3.
KangS.S., LabropoulosN., MansourM.A.Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms.J Vasc Surg2000; 31: 289–98.
4.
GhersinE., KarramT., GaitiniD.Percutaneous ultrasonographically guided thrombin injection of iatrogenic pseudoaneurysms in unusual sites.J Ultrasound Med2003; 22: 809–16.
5.
CorsoR., RampoldiA., VercelliR., LeniD., VanzulliA.Percutaneous repair of radial artery pseudoaneurysm in a hemodialysis patient using sonographically guided thrombin injection.Cardiovasc Intervent Radiol2006; 29: 130–2.
6.
O'NeillJ.M., JenkinsD.A., IrelandH.M.Recurrence of dialysis shunt pseudoaneurysm following percutaneous thrombin embolization.Cardiovasc Intervent Radiol2001; 24: 441–2.
7.
VeselyT.M.Use of stent grafts to repair hemodialysis graft-related pseudoaneurysms.J Vasc Interv Radiol2005; 16: 1301–7.
ClarkT.W., AbrahamR.J.Thrombin injection for treatment of brachial artery pseudoaneurysm at the site of a hemodialysis fistula: report of two patients.Cardiovasc Intervent Radiol2000; 23: 396–400.