Iatrogenic Carotid Artery Pseudoaneurym: Successful Treatment With Percutaneous Thrombin Injection

• Published in: Vascular and endovascular surgery Vol. 58; no. 5; p. 530
• Main Authors: Squecco, Denise, Boninsegna, Enrico, Simonini, Emilio, Sozzi, Carlo, Colopi, Stefano
• Format: Journal Article
• Language: English
• Published: United States 01.07.2024
• Subjects: Aneurysm, False - diagnostic imaging; Aneurysm, False - drug therapy; Aneurysm, False - etiology; Carotid Artery Injuries - diagnostic imaging; Carotid Artery Injuries - drug therapy; Carotid Artery Injuries - etiology; Catheterization, Central Venous - adverse effects; Catheterization, Central Venous - instrumentation; Computed Tomography Angiography; Female; Hemostatics - administration & dosage; Hemostatics - adverse effects; Humans; Iatrogenic Disease; Jugular Veins - diagnostic imaging; Middle Aged; Punctures; Thrombin - administration & dosage; Treatment Outcome; Ultrasonography, Doppler; Vascular System Injuries - diagnostic imaging; Vascular System Injuries - drug therapy; Vascular System Injuries - etiology; thrombin; catheterization, central venous; carotid artery injuries; arteriovenous fistula; pseudoaneurysm
• DOI: 10.1177/15385744231225800

This report demonstrates the successful treatment of a carotid artery pseudoaneurysm using percutaneous thrombin injection. The patient, a 62-year-old woman with multiple comorbidities, experienced a pseudoaneurysm following an unintentional carotid artery puncture during a failed attempt to place a triple lumen catheter in the right jugular vein. Percutaneous thrombin injection was chosen as the treatment method, with Doppler ultrasound monitoring. Follow-up examinations showed no signs of recurrence, and the patient was discharged after nine days without complications.