I have done several of these and agree with the previous posts. Thrombosis is nearly instantaneous. Compression is likely more a risk than a benefit because it may squeeze fresh thrombus out of the neck. I have not done a literature review to back up my theory.

On Sat, Feb 20, 2021, 2:10 PM David Fox <[log in to unmask]> wrote:
There should be no period of compression following successful thrombin injection. You inject the thrombin, observe thrombosis of the pseduo, exclude a thrombotic complication of the artery and you're done. 

Compression might theoretically increase the risk of arterial thrombosis or embolization but there is simply no need for it.



On Sat, Feb 20, 2021 at 4:53 PM Andy Bebry <[log in to unmask]> wrote:
Bill:
I am no expert on this either.  The one case I scanned while the MD injected required no compression.  The doc was not concerned about compression here.
Andy Bebry, RVT

On Sat, Feb 20, 2021 at 4:27 PM Bill Schroedter <[log in to unmask]> wrote:

Greetings all, I was asked a question I don’t know the answer to which got me thinking about it and so I ask the great resource of Flownet. I left the hospital soon after thrombin injection for pseudoaneurysm was coming into favor so have limited personal experience. Is there a specified time to apply compression following injection? In my experience, thrombosis is immediate.

Any feedback personal or reference would be appreciated

Thanks much.

Bill

 

William B Schroedter, BS, RVT, RPhS, FSVU

4120 Woodmere Park Blvd

Suite 8B

Venice, Florida  34293

www.qualityvascular.com

 

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