Percutaneous Thrombin Injection to Complete SMA Pseudoaneurysm Exclusion After Failing of Endograft Placement

Journal Article · Sun May 15 00:00:00 EDT 2005 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-004-0160-Z· OSTI ID:21091375

Szopinski, Piotr; Ciostek, Piotr; Pleban, Eliza ^[1]; Iwanowski, Jaroslaw ^[2]; Krol, Malgorzata Serafin-; Marianowska, Agnieszka ^[3]; Noszczyk, Wojciech ^[1]

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1. Warsaw Medical University, I Chair and Clinic of General and Vascular Surgery (Poland)
2. Brodnowski Hospital, Department of Radiology (Poland)
3. Brodnowski Hospital, Department Diagnostic Imaging and Ultrasonography (Poland)

Visceral aneurysms are potentially life-threatening vascular lesions. Superior mesenteric artery (SMA) pseudoaneurysms are a rare but well-recognized complication of chronic pancreatitis. Open surgical repair of such an aneurysm, especially in patients after previous surgical treatment, might be dangerous and risky. Stent graft implantation makes SMA pseudoaneurysm exclusion possible and therefore avoids a major abdominal operation. Percutaneous direct thrombin injection is also one of the methods of treating aneurysms in this area. We report a first case of percutaneous ultrasound-guided thrombin injection to complete SMA pseudoaneurysm exclusion after an unsuccessful endograft placement. Six-month follow-up did not demonstrate any signs of aneurysm recurrence.

• OSTI ID: 21091375
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 28, Issue 4; Other Information: DOI: 10.1007/s00270-004-0160-z; Copyright (c) 2005 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
DIGESTIVE SYSTEM DISEASES
GRAFTS
INJECTION
OPERATION
PANCREAS
PATIENTS
SURGERY
THROMBIN