title: A ruptured aneurysm after stent graft puncture during computed tomography-guided thrombin injection.
abstract: Type II endoleaks occur in 5% to 10% of patients who are treated by endovascular aneurysm repair. A persistent type II endoleak combined with documented aneurysm expansion is generally considered an indication for intervention. Thrombin injection directly into the aneurysm sac is described as a safe and efficient treatment option. We present a patient with a ruptured aneurysm caused by a puncture of the stent graft during computed tomography-guided thrombin injection. This case highlights a possible harmful complication of thrombin injection and emphasizes the need for caution while performing such a procedure.
authors.affiliation: Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Jip L
authors.initials: JL
authors.lastname: Tolenaar
authors.forename: Jasper W
authors.initials: JW
authors.lastname: van Keulen
authors.forename: Vanessa J
authors.initials: VJ
authors.lastname: Leijdekkers
authors.forename: Evert-Jan
authors.initials: EJ
authors.lastname: Vonken
authors.forename: Frans L
authors.initials: FL
authors.lastname: Moll
authors.forename: Joost A
authors.initials: JA
authors.lastname: van Herwaarden
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008297:Male; D011475:Prosthesis Failure; D011677:Punctures; D015641:Radiography, Interventional; D012086:Reoperation; D015607:Stents; D013396:Suction; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D013917:Thrombin