Paravertebral pseudoaneurysm thrombosed after percutaneous thrombin injection.
We present a case of a lumbar pseudoaneurysm in a 62-year-old patient with myelofibrosis (agnogenic myeloid metaplasia). The patient was submitted to two anesthetic infiltrations for lumbar pain and one biopsy of a suspected hematopoietic site. Subsequently, a 4.5 cm lumbar pseudoaneurysm was diagnosed. The pseudoaneurysm was thrombosed with 1 ml (500 IU) thrombin injection with a successful clinical result. We discuss different treatment options along with several issues related to the most frequent complication of this technique, namely, native artery thrombosis.
Luján
Salvador
S
Unit of Vascular Surgery, Fundación Hospital Alcorcón, Alcorcón, Madrid 28922, Spain. slujanhuertas@fhalcorcon.es
Puras
Enrique
E
Cancer
Susana
S
Perera
Myriam
M
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D001707:Biopsy, Needle / Q000009:adverse effects; D006490:Hemostatics / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D007267:Injections; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D013917:Thrombin / Q000008:administration & dosage* / Q000627:therapeutic use; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin