Iatrogenic Carotid Artery Pseudoaneurym: Successful Treatment With Percutaneous Thrombin Injection

Vasc Endovascular Surg. 2024 Jul;58(5):530-534. doi: 10.1177/15385744231225800. Epub 2023 Dec 28.

Abstract

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.

Keywords: arteriovenous fistula; carotid artery injuries; catheterization, central venous; pseudoaneurysm; thrombin.

Publication types

  • Case Reports

MeSH terms

  • 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