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

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          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.

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          Most cited references5

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          Femoral pseudoaneurysms: management with percutaneous thrombin injections--success rates and effects on systemic coagulation.

          To determine the success rate of percutaneous ultrasonographically (US) guided thrombin injection in the treatment of femoral pseudoaneurysms and to evaluate the effects of thrombin injection on systemic coagulation parameters.
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            Pseudoaneurysm of the superficial palmar arch.

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              Pseudoaneurysm in the hand of a three-year-old boy: a case report.

              Post-traumatic, true aneurysm of the hand is a well-documented phenomenon. Hypothenar hammer syndrome is often a consequence of repeated blunt trauma to the palm, but a false aneurysm, or pseudoaneurysm, of the palm is much rarer. A pseudoaneurysm is often the result of focal penetrating trauma.
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                Author and article information

                Contributors
                Journal
                EJVES Short Rep
                EJVES Short Rep
                EJVES Short Reports
                Elsevier
                2405-6553
                26 March 2016
                2016
                26 March 2016
                : 31
                : 9-11
                Affiliations
                [a ]Department of Vascular Surgery, Alrijne Hospital, Leiderdorp, The Netherlands
                [b ]Department of Vascular Surgery, Zuyderland Medical Center, Brunssum, The Netherlands
                Author notes
                []Corresponding author. bosman.anne@ 123456gmail.com
                Article
                S2405-6553(16)30002-0
                10.1016/j.ejvssr.2016.03.002
                5573120
                28856301
                83cf4ed5-5101-4253-9b89-a512f6eeb702
                © 2016 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 10 November 2015
                : 2 March 2016
                : 6 March 2016
                Categories
                Case Report

                deep palmar arch,pseudoaneurysm,thrombin injection
                deep palmar arch, pseudoaneurysm, thrombin injection

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