Work

Thrombin injection for the treatment of worsening brachiocephalic fistula pseudoaneurysm

Year: 2025

Type: article

Abstract: An 86-year-old woman with end-stage renal disease was being dialyzed via a left brachiocephalic arteriovenous fistula. She developed a pseudoaneurysm at one of the angioaccess sites that did not resolve spontaneously. She developed significant pain and discomfort and presented for treatment. Ultrasound evaluation identified and characterized the pseudoaneurysm. Thrombin injection with ultrasound guidance successfully resolved the pseudoaneurysm, and at her follow-up her symptoms has resolved. Although off-label, thrombin injection remains an important tool in the management of pseudoaneurysms, no matter the location.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101994

Authors: Shreya R. Bhalla, Issam Koleilat

Institutions: Rutgers, The State University of New Jersey, Community Medical Center

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250