IPG60

Thrombin injections for pseudoaneurysms (IPG60)

  • Interventional procedures IPG60
  • Issued: June 2004
    • Thrombin injections for pseudoaneurysms

      The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on thrombin injections for pseudoaneurysms.

      • Description

        This is an injection treatment for pseudoaneurysms.  A pseudoaneurysm is a collection of blood contained by clot that has formed outside a blood vessel following an injury. The collection is attached by a channel to the blood vessel so blood flows within it. A pseudoaneurysm may rupture and bleed severely.

        Pseudoaneurysms (also called false aneurysms) differ from true aneurysms in that blood within a true aneurysm is contained by the weakened wall of the blood vessel, not clot alone.

        The most common cause of pseudoaneursym is femoral artery puncture during cardiac catheterisation. About 100,000 cardiac catheterisations are performed in England each year (source: Department of Health Hospital Episode Statistics, ungrossed for missing data, 2000/2001). Up to 2% of cardiac catheterisations lead to pseudoaneurysm formation.

        Pseudoaneurysms may also occur following other procedures that involve puncture of an artery, including removal of an arterial blood pressure line or intra-aortic balloon pump, or following accidental trauma.

        Many pseudoaneurysms resolve spontaneously and need no treatment. The standard treatment for an unresolved pseudoaneurysm is surgical repair under general anaesthetic. This may be dangerous in people with cardiac disease. Other options include prolonged compression, which is time consuming and painful, and packing the pseudoaneurysm with metal coils, which leaves a lump in the groin.

        Thrombin is an agent that causes clotting. It may be injected under ultrasound guidance into the pseudoaneurysm to clot the blood inside it. The clot is gradually reabsorbed. The procedure is performed under local anaesthetic.

      • OPCS4.6 Code(s)

        L97.7 Thrombin injection for pseudoaneurysm

        Y53.2 Approach to organ under ultrasonic control

        The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding

      • Other information

      This page was last updated: 06 February 2011

    • Guidance formats

      Query

      Information for the public Thrombin injections for pseudoaneurysms

      Information for the public

Implementation tools and resources

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Patient

The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.

Quick Reference Guide

The quick reference guide presents recommendations for health professionals

NICE Guidance

The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.

Full Guidance

The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.