CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm
A pseudoaneurysm of an aortic branch artery is a potentially life-threatening uncommon occurrence, which may result in retroperitoneal hemorrhage. Imaging-guided percutaneous thrombin injection has a high technical success and effectiveness rate for treating pseudoaneurysms of the femoral, iliac, an...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2024-04-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772493 |
| _version_ | 1797215083190812672 |
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| author | Aron Michael Devane Christine Marie Gilligan Schammel |
| author_facet | Aron Michael Devane Christine Marie Gilligan Schammel |
| author_sort | Aron Michael Devane |
| collection | DOAJ |
| description | A pseudoaneurysm of an aortic branch artery is a potentially life-threatening uncommon occurrence, which may result in retroperitoneal hemorrhage. Imaging-guided percutaneous thrombin injection has a high technical success and effectiveness rate for treating pseudoaneurysms of the femoral, iliac, and popliteal arteries. We present a case of a retroperitoneal hemorrhage in a patient with a periaortic branch pseudoaneurysm, potentially from an avulsed lumbar artery. Anatomy prevented fixation with a covered stent; the comorbidities eliminated safe surgical repair, and endovascular embolization was not an option due to the avulsion. Computed tomography (CT) fluoroscopy-guided thrombin injection provided a safe, successful embolization with no postprocedural complications. |
| first_indexed | 2024-03-12T02:52:04Z |
| format | Article |
| id | doaj.art-431501f3b5b446da876b740cb3427fa3 |
| institution | Directory Open Access Journal |
| issn | 2456-4869 |
| language | English |
| last_indexed | 2024-04-24T11:24:25Z |
| publishDate | 2024-04-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj.art-431501f3b5b446da876b740cb3427fa32024-04-10T23:45:40ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-48692024-04-01080104905210.1055/s-0043-1772493CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch PseudoaneurysmAron Michael Devane0Christine Marie Gilligan Schammel1https://orcid.org/0000-0002-6109-5344Department of Radiology, Prisma Health Upstate, Greenville, South Carolina, United StatesPathology Associates, Greenville, South Carolina, United StatesA pseudoaneurysm of an aortic branch artery is a potentially life-threatening uncommon occurrence, which may result in retroperitoneal hemorrhage. Imaging-guided percutaneous thrombin injection has a high technical success and effectiveness rate for treating pseudoaneurysms of the femoral, iliac, and popliteal arteries. We present a case of a retroperitoneal hemorrhage in a patient with a periaortic branch pseudoaneurysm, potentially from an avulsed lumbar artery. Anatomy prevented fixation with a covered stent; the comorbidities eliminated safe surgical repair, and endovascular embolization was not an option due to the avulsion. Computed tomography (CT) fluoroscopy-guided thrombin injection provided a safe, successful embolization with no postprocedural complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772493aortic branch pseudoaneurysmlumbar artery pseudoaneurysmCT-guided thrombin injection |
| spellingShingle | Aron Michael Devane Christine Marie Gilligan Schammel CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm Journal of Clinical Interventional Radiology ISVIR aortic branch pseudoaneurysm lumbar artery pseudoaneurysm CT-guided thrombin injection |
| title | CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm |
| title_full | CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm |
| title_fullStr | CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm |
| title_full_unstemmed | CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm |
| title_short | CT-Guided Percutaneous Thrombin Injection of Posttraumatic Aortic Branch Pseudoaneurysm |
| title_sort | ct guided percutaneous thrombin injection of posttraumatic aortic branch pseudoaneurysm |
| topic | aortic branch pseudoaneurysm lumbar artery pseudoaneurysm CT-guided thrombin injection |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772493 |
| work_keys_str_mv | AT aronmichaeldevane ctguidedpercutaneousthrombininjectionofposttraumaticaorticbranchpseudoaneurysm AT christinemariegilliganschammel ctguidedpercutaneousthrombininjectionofposttraumaticaorticbranchpseudoaneurysm |