Translumbar thrombin embolization of an aortic pseudoaneurysm complicating lumbar disk surgery.
We report a case of translumbar embolization of an aortic pseudoaneurysm complicating lumbar disk surgery. The iatrogenic pseudoaneurysm was initially treated by open repair, but due to failure of this treatment, we opted for direct translumbar thrombin injection under computed tomography (CT) guidance. The patient recovered completely, and follow-up CT scans showed progressive shrinkage of the residual retroperitoneal hematoma. This minimally invasive treatment should be considered in selected cases as a valuable treatment option for pseudoaneurysms that arise from the aorta.
Maleux
Geert
G
Department of Radiology, University Hospitals Gasthuisberg, Belgium. geert.maleux@uz.kuleuven.ac.be
Bielen
Didier
D
Heye
Sam
S
Van Schaeybroeck
Patrick
P
Nevelsteen
André
A
Vanbeckevoort
Dirk
D
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007049:Iatrogenic Disease; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D007431:Intraoperative Complications / Q000628:therapy*; D008159:Lumbar Vertebrae; D008875:Middle Aged; D012008:Recurrence; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D006490:Hemostatics; D013917:Thrombin