In Reply to: Re: Case 0400_10 -- Recurrent Pseudoaneurysm and Arteriovenous Fistula Following Embolization posted by Moni Stein on April 18, 2000 at 10:06:30:
I couldn't agree more.
I do not work in a trauma center, so I see relatively few of these cases, and the ones I do see are generally iatrogenic. That being said, when I do see a pseudoaneurysm, I generally try to cross the injury, and coil the artery on both sides of the pseudoaneurysm as well as across the neck of the pseudoaneurysm. That way, any occult AV connection will be treated when it is small, and will therefore (hopefully)be deprived of its opportunity to grow large and sump up arterial feeders.