title: Saccular aneurysm of superior vena cava treated with percutaneous, transcatheter thrombin injection.
abstract: We report the case of successful endovascular treatment of large saccular aneurysm of SVC in a patient with vascular malformation of right hand and chest. Considering the high risk of surgery, the patient was referred for percutaneous intervention. Venography showed communication between the aneurysm and SVC, just below brachiocephalic confluence. That is why the decision of balloon-protected transcatheter thrombin injection was made. Selective catheter was placed in the aneurysm and balloon occlusion catheter in SVC. Both catheters were withdrawn right after thrombin injection. During follow-up, aneurysm slightly enlarged in early observation and after a year shrinkage was observed.
authors.affiliation: Department of Interventional Radiology, Medical University of Lublin, Jaczewskiego 8, 20-954, Lublin, Poland, tojarg@interia.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Jargiello
authors.forename: Marek
authors.initials: M
authors.lastname: Durakiewicz
authors.forename: Michał
authors.initials: M
authors.lastname: Sojka
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Czekajska-Chehab
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Szczerbo-Trojanowska
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods; D002404:Catheterization / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010690:Phlebography / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods*; D018570:Risk Assessment; D013917:Thrombin / Q000627:therapeutic use*; D013997:Time Factors; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000000981:diagnostic imaging*; D055815:Young Adult
chemical_list: D013917:Thrombin