title: Reperfusion of splanchnic artery aneurysm following transcatheter embolization: treatment with percutaneous thrombin injection.
abstract: We describe a case of reperfusion of an aneurysm of the pancreaticoduodenal artery following transcatheter coil embolotherapy. The lesion was successfully treated by direct puncture of the aneurysm under computed tomographic guidance, followed by injection of thrombin. This technique is useful when an endovascular approach is not feasible.
authors.affiliation: Division of Vascular & Interventional Radiology, Department of Medical Imaging, St. Michael's Hospital, University of Toronto, 30 Bond St., M5B 1W8, Toronto, ON, Canada. chanr@smh.toronto.on.ca
authors.forename: Raymond P
authors.initials: RP
authors.lastname: Chan
authors.forename: Elizabeth
authors.initials: E
authors.lastname: David
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy*; D000792:Angiography / Q000379:methods; D004386:Duodenum / Q000098:blood supply; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D008551:Melena / Q000175:diagnosis / Q000209:etiology; D017538:Mesenteric Artery, Superior; D010179:Pancreas / Q000098:blood supply; D015424:Reperfusion / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013917:Thrombin / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D013917:Thrombin