EURORAD ESR

Case 681

Percutaneous Management of PTFE Dialysis -Graft Pseudoaneurysm by Ultrasound-Guided Thrombin Injection

Author(s)
S Macdonald, T.J Cleveland
 
Patient
female, 31 year(s)
 
 
  • Figure 1
    Colour Doppler of pseudoaneurysm at graft apex

    Colour Doppler demonstrating a 43.5cm x 3.0cm x 3.0cm pseudoaneurysm at the graft apex with a narrow neck (arrow).

     
    Area of Interest: unknown; Imaging Technique: Colour Doppler of pseudoaneurysm at graft apex;
     
     
  • Figure 2
    Thrombin injection.

    Stable thrombus formation occurring almost instantaneously on injection of thrombin during real time ultrasound (left-hand arrow) with simultaneous reduction of colour flow (right-hand arrow).

     
    Area of Interest: unknown; Imaging Technique: Thrombin injection.;
     
     
  • Figure 3
    Exclusion of pseudoaneurysm

    Exclusion of pseudoaneurysm, thrombus in the sac (long arrow) and preservation of flow within the graft (short arrow).

     
    Area of Interest: unknown; Imaging Technique: Exclusion of pseudoaneurysm;
     
     
Colour Doppler demonstrating a 43.5cm x 3.0cm x 3.0cm pseudoaneurysm at the graft apex with a narrow neck (arrow).
 
Stable thrombus formation occurring almost instantaneously on injection of thrombin during real time ultrasound (left-hand arrow) with simultaneous reduction of colour flow (right-hand arrow).
 
Exclusion of pseudoaneurysm, thrombus in the sac (long arrow) and preservation of flow within the graft (short arrow).
 
 
 
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