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DOI:10.2214/AJR.04.1892
AJR 2006; 186:401-405
© American Roentgen Ray Society

Clinical Observations

Development of Nonobstructive Intraarterial Thrombi After Injection of Thrombin into Pseudoaneurysms

Anil K. Dasyam1,2, William D. Middleton1 and Sharlene A. Teefey1

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd., St. Louis, MO 63110-1076.
2 Present address: Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA.

OBJECTIVE. Our objective was to describe the development of nonobstructive, localized intraarterial thrombi after percutaneous injection of thrombin into femoral pseudoaneurysms.

CONCLUSION. Partial extension of thrombi into the arterial lumen may occur after injection of thrombin into small pseudoaneurysms with short necks. In our experience, this is an asymptomatic and self-limited complication of the procedure.

Keywords: color Doppler sonography • peripheral vascular disease • pseudoaneurysm • thrombin • vascular imaging


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