Cargando…

Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection

Endoleak it is the most common complication after endovascular abdominal aortic aneurysm repair and it represents the failure of endovascular treatment. In particular type 2 endoleak is associated with retrograde flow in the aneurysm sac from one or more arterial branches. We describe a reperfusion...

Descripción completa

Detalles Bibliográficos
Autores principales: Giordano, Giuseppe, Meo, Diego, Magnano San Lio, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931210/
https://www.ncbi.nlm.nih.gov/pubmed/31890070
http://dx.doi.org/10.1016/j.radcr.2019.11.018
_version_ 1783483048996634624
author Giordano, Giuseppe
Meo, Diego
Magnano San Lio, Vincenzo
author_facet Giordano, Giuseppe
Meo, Diego
Magnano San Lio, Vincenzo
author_sort Giordano, Giuseppe
collection PubMed
description Endoleak it is the most common complication after endovascular abdominal aortic aneurysm repair and it represents the failure of endovascular treatment. In particular type 2 endoleak is associated with retrograde flow in the aneurysm sac from one or more arterial branches. We describe a reperfusion of the aortic aneurysm sac with slow-flow type II endoleak from the right internal iliac artery aneurysm through the posterior door previously closed with coils, and treatment with direct puncture of the internal iliac artery aneurysm with infixion of human thrombin under ultrasound guidance, not previously described in the literature. In this case the direct puncture of the aneurysm sac was the faster and safer way to treat this patient just because the back door was closed by coils and the entry by the iliac graft. Thrombin reduces significantly the presence of artifacts and give to us the exact extension of thrombosis into the aneurysm sac and the echo-guided offers the advantage of being able to monitor the progression of the thrombotic process induced by thrombin injection in real time.
format Online
Article
Text
id pubmed-6931210
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-69312102019-12-30 Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection Giordano, Giuseppe Meo, Diego Magnano San Lio, Vincenzo Radiol Case Rep Interventional Radiology Endoleak it is the most common complication after endovascular abdominal aortic aneurysm repair and it represents the failure of endovascular treatment. In particular type 2 endoleak is associated with retrograde flow in the aneurysm sac from one or more arterial branches. We describe a reperfusion of the aortic aneurysm sac with slow-flow type II endoleak from the right internal iliac artery aneurysm through the posterior door previously closed with coils, and treatment with direct puncture of the internal iliac artery aneurysm with infixion of human thrombin under ultrasound guidance, not previously described in the literature. In this case the direct puncture of the aneurysm sac was the faster and safer way to treat this patient just because the back door was closed by coils and the entry by the iliac graft. Thrombin reduces significantly the presence of artifacts and give to us the exact extension of thrombosis into the aneurysm sac and the echo-guided offers the advantage of being able to monitor the progression of the thrombotic process induced by thrombin injection in real time. Elsevier 2019-12-20 /pmc/articles/PMC6931210/ /pubmed/31890070 http://dx.doi.org/10.1016/j.radcr.2019.11.018 Text en © 2019 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Interventional Radiology
Giordano, Giuseppe
Meo, Diego
Magnano San Lio, Vincenzo
Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title_full Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title_fullStr Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title_full_unstemmed Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title_short Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
title_sort internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection
topic Interventional Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931210/
https://www.ncbi.nlm.nih.gov/pubmed/31890070
http://dx.doi.org/10.1016/j.radcr.2019.11.018
work_keys_str_mv AT giordanogiuseppe internaliliacarteryaneurysmembolizationwithdirectpercutaneouspunctureandthrombininjection
AT meodiego internaliliacarteryaneurysmembolizationwithdirectpercutaneouspunctureandthrombininjection
AT magnanosanliovincenzo internaliliacarteryaneurysmembolizationwithdirectpercutaneouspunctureandthrombininjection