Thrombin injection of a pancreaticoduodenal artery pseudoaneurysm after failed attempts at transcatheter embolization.
We describe a case of a pseudoaneurysm of the pancreaticoduodenal artery in a patient with history of cholecystectomy and chronic pancreatitis. Attempts at transcatheter coil embolotherapy failed because of vessel tortuosity. The lesion was then successfully treated by computed tomography-guided direct percutaneous injection of thrombin into the pseudoaneurysm. This technique may be a first line of treatment or a useful adjunct to transcatheter embolization technique.
Ghassemi
Azad
A
Lenox Hill Hospital, Department of Radiology, New York, NY 10021, USA. azadology@yahoo.com
Javit
Daniel
D
Dillon
Evan H
EH
D000368:Aged; D017541:Aneurysm, False / Q000628:therapy*; D002763:Cholecystectomy; D002908:Chronic Disease; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D010179:Pancreas / Q000098:blood supply*; D010195:Pancreatitis / Q000150:complications; D013917:Thrombin / Q000008:administration & dosage*; D017211:Treatment Failure
D013917:Thrombin