title: Percutaneous thrombin injection to complete SMA pseudoaneurysm exclusion after failing of endograft placement.
abstract: 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.
authors: Clinic of General and Vascular Surgery, Warsaw Medical University, ul.Kondratowicza 8, 03 242 Warsaw, Poland. piotr.szopinski@neostrada.pl
authors: Piotr
authors: P
authors: Szopiński
authors: Piotr
authors: P
authors: Ciostek
authors: Eliza
authors: E
authors: Pleban
authors: Jarosław
authors: J
authors: Iwanowski
authors: Małgorzata
authors: M
authors: Serafin-Król
authors: Agnieszka
authors: A
authors: Marianowska
authors: Wojciech
authors: W
authors: Noszczyk
mesh_terms: 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
chemical_list: D003287:Contrast Media; D006490:Hemostatics; D013917:Thrombin