Percutaneous thrombin injection to complete SMA pseudoaneurysm exclusion after failing of endograft placement.
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.
Szopiński
Piotr
P
Clinic of General and Vascular Surgery, Warsaw Medical University, ul.Kondratowicza 8, 03 242 Warsaw, Poland. piotr.szopinski@neostrada.pl
Ciostek
Piotr
P
Pleban
Eliza
E
Iwanowski
Jarosław
J
Serafin-Król
Małgorzata
M
Marianowska
Agnieszka
A
Noszczyk
Wojciech
W
D017541:Aneurysm, False / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery; D000792:Angiography; D002908:Chronic Disease; D003287:Contrast Media; D005260:Female; D005773:Gastroscopy; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications; D015641:Radiography, Interventional; D015607:Stents; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
D003287:Contrast Media; D006490:Hemostatics; D013917:Thrombin