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Journal of Diagnostic Medical Sonography
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Ultrasound-guided Thrombin Injection of an AVF Pseudoaneurysm

Kumara Rama, MD

St. Clair Vascular Associates, PC, Detroit, Michigan.

Kathleen Greene, RN, RVT, RDMS

St. Clair Vascular Associates, PC, 22151 Moross Road, Suite 228, Detroit, MI 48236 info{at}vascudoc.com

Sally Nichols, VT

Richard Berg, MD, RVT

Michael Khoury, MD

Elizabeth Colaiuta, MD

Lisa Flynn, MD

St. Clair Vascular Associates, PC, Detroit, Michigan.

The purpose of this case report is to demonstrate the effectiveness of duplex-guided thrombin injection for hemodialysis access m:ainteniance. A 72-year-old female complained of nine-month onset of pain and tenderness at the site of her left upper extremity arteriovenous fistula Prosthetic arteriovnous fistula graft body pseudoaneurysms were fund on fistulography and confirmed with color flow duplex ultrasound. Duplexguided thrombin injection was perfrmed resufiing in successful thrombosis of et graft pseudoaneurysms. The procedure was performed in an outpatient setting the patient tolerated the procdue well, and graft patency was preserved.

Key Words: ultrasound • embolism/throm bosis • fistula • aneurysms • dgital radiography

Journal of Diagnostic Medical Sonography, Vol. 16, No. 1, 34-36 (2000)
DOI: 10.1177/875647930001600108
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