A Pseudoaneurysm of the Deep Palmar Arch After Penetrating Trauma to the Hand: Successful Exclusion by Ultrasound Guided Percutaneous Thrombin Injection. (2016)

• Record Type: Journal Article
• Authors: Bosman, A.; Veger, H.T.C.; Doornink, F.; Hedeman Joosten, P.P.A.
• Is Part Of: EJVES short reports. Volume 31(2016)
• Page Start: 9
• Page End: 11
• Publication Date: 2016
• Subjects: Deep palmar arch -- Pseudoaneurysm -- Thrombin injection; Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; 617.413005
• DOI: 10.1016/j.ejvssr.2016.03.002
• Languages: English
• ISSNs: 2405-6553

Abstract

Abstract : Introduction: Pseudoaneurysm of the hand is a rare condition; most are treated surgically. Ultrasound guided thrombin injection has not previously been reported as a treatment option for pseudoaneurysms of the deep palmar arch. Report: A man was referred to the emergency department with a swollen, painful hand after penetrating trauma. On physical examination, a pulsating tumor was found on the dorsum of the hand. Imaging revealed a pseudoaneurysm vascularized by the deep palmar arch. Ultrasound guided percutaneous thrombin injection was successfully performed. Conclusion: Thrombin injection might be a safe alternative option in the treatment of pseudoaneurysm of the deep palmar arch. Highlights: Pseudoaneurysms of the deep palmar arch are infrequently diagnosed or described in literature. Current medical literature describes surgery as the preferred treatment option. US-guided percutaneous thrombin injection is a safe alternative option in the treatment of deep palmar arch pseudoaneurysms.