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Erschienen in: CardioVascular and Interventional Radiology 3/2003

01.06.2003 | Case Report

Ultrasonic-Guided Percutaneous Injection of Pancreatic Pseudoaneurysm with Thrombin

verfasst von: Patrick Sparrow, John Asquith, Nick Chalmers

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2003

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Abstract

Pancreatic pseudoaneurysm is a relatively uncommon complication of chronic pancreatitis, with an associated high mortality if rupture or hemorrhage occurs. We present a case of pancreatic pseudoaneurysm complicating pancreatitis which was successfully treated by direct percutaneous injection of thrombin into the aneurysmal sac. Follow-up at 8 weeks did not demonstrate recurrence. This case indicates that percutaneous thrombin injection offers effective treatment of visceral arterial pseudoaneurysms.
Literatur
1.
Zurück zum Zitat Kiviluto, T, Kivisaari, L, Kivilaakso, E 1989Pseudocysts in chronic pancreatitis: surgical results in 102 consecutive patients.Arch Surg124240243PubMed Kiviluto, T, Kivisaari, L, Kivilaakso, E 1989Pseudocysts in chronic pancreatitis: surgical results in 102 consecutive patients.Arch Surg124240243PubMed
2.
Zurück zum Zitat El Hamel, A, Parc, R, Adda, G, et al. 1991Bleeding pseudocyst and pseudoaneurysms in chronic pancreatitis.Br J Surg7810591063PubMed El Hamel, A, Parc, R, Adda, G,  et al. 1991Bleeding pseudocyst and pseudoaneurysms in chronic pancreatitis.Br J Surg7810591063PubMed
3.
Zurück zum Zitat Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis.Arch Surg1184551PubMed Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis.Arch Surg1184551PubMed
4.
Zurück zum Zitat Boudghene, F, L’Hermine, C, Bigot, JM 1993Arterial complications of pancreatitis: Diagnostic and therapeutic aspects in 104 cases.J Vasc Interv Radiol4551558PubMed Boudghene, F, L’Hermine, C, Bigot, JM 1993Arterial complications of pancreatitis: Diagnostic and therapeutic aspects in 104 cases.J Vasc Interv Radiol4551558PubMed
5.
Zurück zum Zitat Huizinga, WK, Kalideen, Jm, Bryer, JV, et al. 1984Control of major hemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolisation.Br J Surg71133136PubMed Huizinga, WK, Kalideen, Jm, Bryer, JV,  et al. 1984Control of major hemorrhage associated with pancreatic pseudocysts by transcatheter arterial embolisation.Br J Surg71133136PubMed
6.
Zurück zum Zitat Khan, TF, Ciancio, G, Burke, GW 1999Pseudoaneurysm of the superior mesenteric artery with an arteriovenous fistula after simultaneous kidney–pancreas transplantation.Clin Transplant13277279CrossRefPubMed Khan, TF, Ciancio, G, Burke, GW 1999Pseudoaneurysm of the superior mesenteric artery with an arteriovenous fistula after simultaneous kidney–pancreas transplantation.Clin Transplant13277279CrossRefPubMed
7.
Zurück zum Zitat Laghi, A, Iannaccone, R, Catalano, C, et al. 2001Multislice computed tomography angiography of mesenteric arteries.Lancet358638639PubMed Laghi, A, Iannaccone, R, Catalano, C,  et al. 2001Multislice computed tomography angiography of mesenteric arteries.Lancet358638639PubMed
8.
Zurück zum Zitat Gadacz, TR, Trunkey, D, Kieffer, RF 1978Visceral vessel erosion associated with pancreatitis. Case reports and a review of the literature.Arch Surg11314381440PubMed Gadacz, TR, Trunkey, D, Kieffer, RF 1978Visceral vessel erosion associated with pancreatitis. Case reports and a review of the literature.Arch Surg11314381440PubMed
9.
Zurück zum Zitat Lina, JR, Jaques, P, Mandell, V 1979Aneurysm rupture secondary to transcatheter embolisation.AJR Am J Roentgenol132553536PubMed Lina, JR, Jaques, P, Mandell, V 1979Aneurysm rupture secondary to transcatheter embolisation.AJR Am J Roentgenol132553536PubMed
10.
Zurück zum Zitat Mandel, S, Jaques, P, Sanofsky, S, et al. 1987Non-operative management of peripancreatic arterial aneurysms. A 10-year experience.Ann Surg205126128PubMed Mandel, S, Jaques, P, Sanofsky, S,  et al. 1987Non-operative management of peripancreatic arterial aneurysms. A 10-year experience.Ann Surg205126128PubMed
11.
Zurück zum Zitat Shapiro, N, Brandt, L, Sprayregan, S, et al. 1981Duodenal infarction after therapeutic gelfoam embolisation of a bleeding duodenal ulcer.Gastroenterology80176180PubMed Shapiro, N, Brandt, L, Sprayregan, S,  et al. 1981Duodenal infarction after therapeutic gelfoam embolisation of a bleeding duodenal ulcer.Gastroenterology80176180PubMed
12.
Zurück zum Zitat Gambiez, L, Ersnt, O, Merlier, O, et al. 1997Arterial embolisation for bleeding pseudocysts complicating chronic pancreatitis.Arch Surg13210161021PubMed Gambiez, L, Ersnt, O, Merlier, O,  et al. 1997Arterial embolisation for bleeding pseudocysts complicating chronic pancreatitis.Arch Surg13210161021PubMed
13.
Zurück zum Zitat Cope, C, Zeit, R 1986Coagulation of aneurysms by direct percutaneous thrombin.AJR Am J Roentgenol147383387 Cope, C, Zeit, R 1986Coagulation of aneurysms by direct percutaneous thrombin.AJR Am J Roentgenol147383387
14.
Zurück zum Zitat Powell, A, Benenati, J, Becker, G, et al. 2002Percutaneous ultrasound guided injection for the treatment of pseudoaneurysms.J Am Coll Surg194S5357CrossRefPubMed Powell, A, Benenati, J, Becker, G,  et al. 2002Percutaneous ultrasound guided injection for the treatment of pseudoaneurysms.J Am Coll Surg194S5357CrossRefPubMed
15.
Zurück zum Zitat Luchs, SG, Antonacci, VP, Reid, SK 1999Pancreatic head pseudoaneurysm treated with percutaneous thrombin injection.AJR Am J Roentgenol173833834 Luchs, SG, Antonacci, VP, Reid, SK 1999Pancreatic head pseudoaneurysm treated with percutaneous thrombin injection.AJR Am J Roentgenol173833834
16.
Zurück zum Zitat Benjaminov, O, Atri, M 2002Percutaneous thrombin injection for treatment of an intrarenal pseudoaneurysm.AJR Am J Roentgenol178364366PubMed Benjaminov, O, Atri, M 2002Percutaneous thrombin injection for treatment of an intrarenal pseudoaneurysm.AJR Am J Roentgenol178364366PubMed
17.
Zurück zum Zitat Rothbarth, L, Redmond, P, Kumpe, D 1999Percutaneous transhepatic treatment of a large intrahepatic aneurysm.AJR Am J Roentgenol15310771078 Rothbarth, L, Redmond, P, Kumpe, D 1999Percutaneous transhepatic treatment of a large intrahepatic aneurysm.AJR Am J Roentgenol15310771078
18.
Zurück zum Zitat Kemmeter, P, Bonnell, B, Vanderkolk, W, et al. 2000Percutaneous thrombin injection of splanchnic artery aneurysms: two case reports.J Vasc Interv Radiol11469472PubMed Kemmeter, P, Bonnell, B, Vanderkolk, W,  et al. 2000Percutaneous thrombin injection of splanchnic artery aneurysms: two case reports.J Vasc Interv Radiol11469472PubMed
19.
Zurück zum Zitat Kang, SS, Labropoulus, N, Mansour, MA, et al. 1998Percutaneous ultrasound guided injection: A new method for treating postcatheterisation femoral pseudoaneurysms.J Vasc Surg2710321038PubMed Kang, SS, Labropoulus, N, Mansour, MA,  et al. 1998Percutaneous ultrasound guided injection: A new method for treating postcatheterisation femoral pseudoaneurysms.J Vasc Surg2710321038PubMed
20.
Zurück zum Zitat Taylor, BS, Rhee, RY, Muluk, S, et al. 1999Thrombin injection versus compression of femoral artery pseudoaneurysms.J Vasc Surg3010521059PubMed Taylor, BS, Rhee, RY, Muluk, S,  et al. 1999Thrombin injection versus compression of femoral artery pseudoaneurysms.J Vasc Surg3010521059PubMed
21.
Zurück zum Zitat Reeder, SB, Widlus, DM, Lazinger, M 2001Low-dose thrombin injection to treat iatrogenic femoral artery pseudoaneurysms.AJR Am J Roentgenol177595598PubMed Reeder, SB, Widlus, DM, Lazinger, M 2001Low-dose thrombin injection to treat iatrogenic femoral artery pseudoaneurysms.AJR Am J Roentgenol177595598PubMed
22.
Zurück zum Zitat Lennox, AF, Delis, KT, Szendro, G, et al. 2000Duplex-guided thrombin injection for iatrogenic femoral artery pseudoaneurysm is effective even in anti-coagulated patients.Br J Surg87796801 Lennox, AF, Delis, KT, Szendro, G,  et al. 2000Duplex-guided thrombin injection for iatrogenic femoral artery pseudoaneurysm is effective even in anti-coagulated patients.Br J Surg87796801
23.
Zurück zum Zitat Forbes, TL, Millward, SF 2001Femoral artery thrombosis after percutaneous thrombin injection of an external iliac artery pseudoaneurysm.J Vasc Surg3310931096CrossRefPubMed Forbes, TL, Millward, SF 2001Femoral artery thrombosis after percutaneous thrombin injection of an external iliac artery pseudoaneurysm.J Vasc Surg3310931096CrossRefPubMed
24.
Zurück zum Zitat Sadiq, S, Ibrahim, W 2001Thromboembolism complicating thrombin injection of femoral artery pseudoaneurysm: management with intra-arterial thrombolysis.J Vasc Interv Radiol12633636PubMed Sadiq, S, Ibrahim, W 2001Thromboembolism complicating thrombin injection of femoral artery pseudoaneurysm: management with intra-arterial thrombolysis.J Vasc Interv Radiol12633636PubMed
25.
Zurück zum Zitat Lin, PH, Bush, RL, Tong, FC, et al. 2001Intra-arterial thrombin injection of an ascending aortic pseudoaneurysm complicated by transient ischaemic attack and rescued with systemic abciximab.J Vasc Surg34939942CrossRefPubMed Lin, PH, Bush, RL, Tong, FC,  et al. 2001Intra-arterial thrombin injection of an ascending aortic pseudoaneurysm complicated by transient ischaemic attack and rescued with systemic abciximab.J Vasc Surg34939942CrossRefPubMed
26.
Zurück zum Zitat Ortel, TK, Charles, LA, Keller, FG 1994Topical thrombin and acquired coagulation factor inhibitors: Clinical spectrum and laboratory diagnosis.Am J Haematol45128135 Ortel, TK, Charles, LA, Keller, FG 1994Topical thrombin and acquired coagulation factor inhibitors: Clinical spectrum and laboratory diagnosis.Am J Haematol45128135
27.
Zurück zum Zitat Muntaen, W, Zenz, W, Edlinger, G 1997Severe bleeding due to factor V inhibitor after repeated operations using fibrin sealant containing bovine thrombin.Thromb Haemost771223 Muntaen, W, Zenz, W, Edlinger, G 1997Severe bleeding due to factor V inhibitor after repeated operations using fibrin sealant containing bovine thrombin.Thromb Haemost771223
28.
Zurück zum Zitat Tadokoro, K, Ohtoshi, T, Takfuji, S, et al. 1991Topical thrombin induced IgE anaphylaxis: RAST analysis and skin test studies.J Allergy Clin Immunol88620629PubMed Tadokoro, K, Ohtoshi, T, Takfuji, S,  et al. 1991Topical thrombin induced IgE anaphylaxis: RAST analysis and skin test studies.J Allergy Clin Immunol88620629PubMed
29.
Zurück zum Zitat Pope, M, Johnston, K 2000Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: Recommendations for prevention.J Vasc Surg32190191PubMed Pope, M, Johnston, K 2000Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: Recommendations for prevention.J Vasc Surg32190191PubMed
30.
Zurück zum Zitat Elford, J, Burell, C, Freeman, S, et al. 2002Human thrombin injection for iatrogenic pseudoaneurysms.Cardiovasc Intervent Radiol25115118 Elford, J, Burell, C, Freeman, S,  et al. 2002Human thrombin injection for iatrogenic pseudoaneurysms.Cardiovasc Intervent Radiol25115118
31.
Zurück zum Zitat Paulson, EK, Nelson, RC, Mayes, CE, et al. 2001Sonographically guided thrombin injection of iatrogenic femoral pseudoaneurysms: Further experience of a single institution.AJR Am J Roentgenol177309316 Paulson, EK, Nelson, RC, Mayes, CE,  et al. 2001Sonographically guided thrombin injection of iatrogenic femoral pseudoaneurysms: Further experience of a single institution.AJR Am J Roentgenol177309316
32.
Zurück zum Zitat Sultan, S, Nicholls, S, Madhavan, P, et al. 2001Ultrasound guided human thrombin injection. A new modality in the management of femoral artery pseudoaneurysms.Eur J Vasc Endovasc Surg22542554CrossRefPubMed Sultan, S, Nicholls, S, Madhavan, P,  et al. 2001Ultrasound guided human thrombin injection. A new modality in the management of femoral artery pseudoaneurysms.Eur J Vasc Endovasc Surg22542554CrossRefPubMed
Metadaten
Titel
Ultrasonic-Guided Percutaneous Injection of Pancreatic Pseudoaneurysm with Thrombin
verfasst von
Patrick Sparrow
John Asquith
Nick Chalmers
Publikationsdatum
01.06.2003
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2003
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-003-0008-y

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