Independent case reportTraumatic pseudoaneurysm of the anterior tibial artery treated with ultrasound-guided thrombin injection in a pediatric patient
Section snippets
Case report
A 13-year-old female presented to the emergency department after being stabbed in the anterolateral left calf with a long knife. At presentation, she was noted to have a 4-cm stab wound to the described area that was cleansed and closed with interrupted sutures. At the time of wound closure, there was brisk bleeding noted, but it was easily controlled by closing the defect. The patient was given a tetanus shot and subsequently discharged from the emergency department.
Seven days later, she
Discussion
Traditionally, pseudoaneurysms have been managed operatively. These operations pose challenges because proximal control is imperative before dissection near the soft tissue containing the pseudoaneurysm that requires a sizable incision. The vessel edges of the defect are often of poor quality and require trimming or resection to allow a sound anastomosis. Therefore, there has been interest to develop other less invasive treatment modalities.
One such method is ultrasound-guided compression of
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Cited by (21)
Catheter-based therapy for traumatic pseudoaneurysm of the anterior tibial artery
2024, Radiology Case ReportsRisk factors for preoperative seizures in pediatric patients with intracranial aneurysms
2020, Clinical Neurology and NeurosurgeryCitation Excerpt :Combining these two risk factors, we believe it is important for pediatric patients with unruptured giant intracranial aneurysms to receive surgical or endovascular treatment in a timely manner before experiencing fatal brain hemorrhages. Head trauma, especially penetrating or blunt head injury, has been reported to be the most important etiology of pseudoaneurysms, especially in the pediatric group [23–25]. In our series, multivariable analysis proved that head trauma history and pseudoaneurysms were both risk factors associated with an increased risk of preoperative seizures in pediatric patients.
A case report of an anterior tibial artery pseudo-aneurysm open surgical management: A rare complication post total knee arthroplasty
2017, International Journal of Surgery Case ReportsCitation Excerpt :However, the resection and primary anastomosis option are suitable only in clean, small limited lesions of the ATA [9]. Ligation of the ATA to treat a pseudo aneurysm is the third surgical option reported in the medical literature and is feasible when the posterior tibial artery is patent all the way down to the foot [6,9,14]. First described in 1963, this method is probably based upon the cumulative experience from managing vascular injuries during the major wars of the 20th century.
Pediatric post-traumatic limb pseudoaneurysm: Case report and literature review
2015, Archives de Pediatrie