• Medientyp: E-Artikel
  • Titel: Balloon‐assisted injection of fibrin sealant for the treatment of postintervention access‐site bleeding complications
  • Beteiligte: Lindner, Jakob U. [Verfasser:in]; Markuske, Matthias [Verfasser:in]; Szczanowicz, Lukasz [Verfasser:in]; Jobs, Alexander [Verfasser:in]; Abdel‐Wahab, Mohamed [Verfasser:in]; Desch, Steffen [Verfasser:in]; Thiele, Holger [Verfasser:in]; Sulimov, Dmitry S. [Verfasser:in]
  • Erschienen: NY: Wiley Interscience, New York, [2023]
  • Erschienen in: Catheterization and cardiovascular interventions ; 99,4 (2022), Seite 1327-1334
  • Sprache: Englisch
  • DOI: 10.1002/ccd.30068
  • Schlagwörter: pseudoaneurysm ; bleeding complications ; vascular access ; peripheral complications
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  • Beschreibung: This study sought to evaluate a new method that uses injection of fibrin sealantunder simultaneous balloon occlusion for the treatment of postinterventional accesssite bleeding complications. With the rising complexity of interventional procedures,iatrogenic false aneurysms and active bleeding has become more common. In general,these complications are associated with increased morbidity and mortality,especially if surgical repair is required. Although high success rates are reported forultrasound‐guided compression and ultrasound‐guided thrombin injection, thesemethods are not always feasible. All procedures of fibrin sealant injection undersimultaneous balloon occlusion for the treatment of postinterventional access sitebleeding complications or pseudoaneurysm were prospectively collected. Additionaldata were retrospectively obtained and analyzed for all patients treated by this newmethod. In total, 53 patients were included from 2018 to 2021. Most of the accesssite complications were related to transcatheter aortic valve replacement (40%) orpercutaneous coronary intervention (21%), but also to a wide variety of other procedures.Of the 53 patients, 30 had to be treated for false aneurysms and 23 foractive bleeding. A high primary success rate of 94% was achieved. Recurrences offalse aneurysms occurred in six patients, of which only one needed open surgicalrepair. Regarding complications, two peripheral embolisms, thereof one requiringadditional stent implantation occurred. Balloon‐assisted thrombin injection seems tobe feasible and safe. It provides a new alternative to prevent surgery for patientswhere common techniques are unavailable or have failed.
  • Zugangsstatus: Freier Zugang
  • Rechte-/Nutzungshinweise: Namensnennung - Nicht kommerziell (CC BY-NC)