The use of direct thrombin injection to treat a type II endoleak following endovascular repair of abdominal aortic aneurysm.
This report describes the use of thrombin to treat a type II endoleak which was causing continued abdominal aortic aneurysm expansion in a patient who had undergone endovascular repair. A small quantity of thrombin was injected into the leak by a percutaneous approach directly into the aneurysm sac using color doppler ultrasound. The procedure was successful and required only a few minutes to perform. We believe this procedure is an alternative to some of the more complex and technically challenging means of treating this lesion.
Ellis
Peter K
PK
Department of Radiology, Royal Victoria Hospital, Belfast, United Kingdom. pkellis@doctors.org.uk
Kennedy
Peter T
PT
Collins
Anton J
AJ
Blair
Paul H
PH
D000279:Administration, Cutaneous; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D005260:Female; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D013917:Thrombin / Q000008:administration & dosage*; D014463:Ultrasonography
D006490:Hemostatics; D013917:Thrombin