Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index

Abstract Ultrasound-guided thrombin injection (UGTI) is often the first-line treatment for iatrogenic post-catheterization pseudoaneurysms (psA). There are also first reports of the use of biologically derived tissue glues (TG) instead of sole thrombin especially when UGTI was unsuccessful or in cas...

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Autores principales:	Jacek Kurzawski, Lukasz Zandecki, Agnieszka Janion-Sadowska, Lukasz Piatek, Anna Jaroszynska, Szymon Domagala, Marcin Sadowski, Edyta Baranska
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/85cd9a51882146349af5317906d488f9
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spelling	oai:doaj.org-article:85cd9a51882146349af5317906d488f92021-12-02T17:08:36ZChoosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index10.1038/s41598-021-96062-82045-2322https://doaj.org/article/85cd9a51882146349af5317906d488f92021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96062-8https://doaj.org/toc/2045-2322Abstract Ultrasound-guided thrombin injection (UGTI) is often the first-line treatment for iatrogenic post-catheterization pseudoaneurysms (psA). There are also first reports of the use of biologically derived tissue glues (TG) instead of sole thrombin especially when UGTI was unsuccessful or in case of psA recurrence. Previously, we have established that a late to early velocity index (LEVI) < 0.2 could be a predictor of an increased risk of psA recurrence after standard UGTI. In this paper, we report our first experiences when the choice of the first-line treatment method was based on LEVI assessment. From May 2017 till January 2020 we included 36 patients with psA. Of them, 10 had LEVI < 0.2 and they underwent ultrasound-guided tissue glue injection (UGTGI) with biological TG and 26 had LEVI > 0.2 and they underwent UGTI. The injection set containing human thrombin and fibrinogen was used for UGTGI. Bovine thrombin was used for UGTI. The success rate was 100% and no psA recurrence was detected during a 2-week follow-up. It was significantly better when compared to the expected recurrence rates based on our previous 14 years of experience (0% vs. 13%, p = 0.01). All complications (10% in the UGTGI group and 15% in the UGTI group) were mild and transient and included clinical symptoms of paresthesia, numbness, tingling, or pain. Their rates were comparable to the rates we previously reported. No significant differences in other characteristics were observed. The approach to choose the first-line treatment method for iatrogenic psA based on LEVI is encouraging. It may increase the success rate and avoid unnecessary repetition of the procedure, without increasing complication rate while keeping costs of the procedure reasonable.Jacek KurzawskiLukasz ZandeckiAgnieszka Janion-SadowskaLukasz PiatekAnna JaroszynskaSzymon DomagalaMarcin SadowskiEdyta BaranskaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jacek Kurzawski Lukasz Zandecki Agnieszka Janion-Sadowska Lukasz Piatek Anna Jaroszynska Szymon Domagala Marcin Sadowski Edyta Baranska Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
description	Abstract Ultrasound-guided thrombin injection (UGTI) is often the first-line treatment for iatrogenic post-catheterization pseudoaneurysms (psA). There are also first reports of the use of biologically derived tissue glues (TG) instead of sole thrombin especially when UGTI was unsuccessful or in case of psA recurrence. Previously, we have established that a late to early velocity index (LEVI) < 0.2 could be a predictor of an increased risk of psA recurrence after standard UGTI. In this paper, we report our first experiences when the choice of the first-line treatment method was based on LEVI assessment. From May 2017 till January 2020 we included 36 patients with psA. Of them, 10 had LEVI < 0.2 and they underwent ultrasound-guided tissue glue injection (UGTGI) with biological TG and 26 had LEVI > 0.2 and they underwent UGTI. The injection set containing human thrombin and fibrinogen was used for UGTGI. Bovine thrombin was used for UGTI. The success rate was 100% and no psA recurrence was detected during a 2-week follow-up. It was significantly better when compared to the expected recurrence rates based on our previous 14 years of experience (0% vs. 13%, p = 0.01). All complications (10% in the UGTGI group and 15% in the UGTI group) were mild and transient and included clinical symptoms of paresthesia, numbness, tingling, or pain. Their rates were comparable to the rates we previously reported. No significant differences in other characteristics were observed. The approach to choose the first-line treatment method for iatrogenic psA based on LEVI is encouraging. It may increase the success rate and avoid unnecessary repetition of the procedure, without increasing complication rate while keeping costs of the procedure reasonable.
format	article
author	Jacek Kurzawski Lukasz Zandecki Agnieszka Janion-Sadowska Lukasz Piatek Anna Jaroszynska Szymon Domagala Marcin Sadowski Edyta Baranska
author_facet	Jacek Kurzawski Lukasz Zandecki Agnieszka Janion-Sadowska Lukasz Piatek Anna Jaroszynska Szymon Domagala Marcin Sadowski Edyta Baranska
author_sort	Jacek Kurzawski
title	Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
title_short	Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
title_full	Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
title_fullStr	Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
title_full_unstemmed	Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
title_sort	choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/85cd9a51882146349af5317906d488f9
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Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index

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