Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 4/2005

01-05-2005

Percutaneous Thrombin Injection to Complete SMA Pseudoaneurysm Exclusion After Failing of Endograft Placement

Authors: Piotr Szopiński, Piotr Ciostek, Eliza Pleban, Jarosław Iwanowski, Małgorzata Serafin- Król, Agnieszka Marianowska, Wojciech Noszczyk

Published in: CardioVascular and Interventional Radiology | Issue 4/2005

Login to get access

Abstract

Visceral aneurysms are potentially life-threatening vascular lesions. Superior mesenteric artery (SMA) pseudoaneurysms are a rare but well-recognized complication of chronic pancreatitis. Open surgical repair of such an aneurysm, especially in patients after previous surgical treatment, might be dangerous and risky. Stent graft implantation makes SMA pseudoaneurysm exclusion possible and therefore avoids a major abdominal operation. Percutaneous direct thrombin injection is also one of the methods of treating aneurysms in this area. We report a first case of percutaneous ultrasound-guided thrombin injection to complete SMA pseudoaneurysm exclusion after an unsuccessful endograft placement. Six-month follow-up did not demonstrate any signs of aneurysm recurrence.
Literature
1.
go back to reference Carr, SC, Mahvi, DM, Hoch, JR, et al. 2001Visceral artery aneurysm ruptureJ Vasc Surg33806811CrossRefPubMed Carr, SC, Mahvi, DM, Hoch, JR,  et al. 2001Visceral artery aneurysm ruptureJ Vasc Surg33806811CrossRefPubMed
2.
go back to reference Tolga Moftulugu, MA, Aktekin, A, Gurleyik, G, et al. 2003A ruptured aneurysm of superior mesenteric artery to duodenum and reconstruction with saphenous vein graftEur J Vasc Endovasc Surg25590591CrossRef Tolga Moftulugu, MA, Aktekin, A, Gurleyik, G,  et al. 2003A ruptured aneurysm of superior mesenteric artery to duodenum and reconstruction with saphenous vein graftEur J Vasc Endovasc Surg25590591CrossRef
3.
go back to reference Armstrong, EM, Edwards, A, Kingsnorth, AN, et al. 2003Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitisEur J Vasc Endovasc Surg26448449CrossRefPubMed Armstrong, EM, Edwards, A, Kingsnorth, AN,  et al. 2003Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitisEur J Vasc Endovasc Surg26448449CrossRefPubMed
4.
go back to reference Baker, KS, Tisnado, J, Cho, SR, et al. 1987Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolizationRadiology1631359CrossRefPubMed Baker, KS, Tisnado, J, Cho, SR,  et al. 1987Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolizationRadiology1631359CrossRefPubMed
5.
go back to reference Tessier, DJ, Stone, WM, Fowl, RJ, et al. 2003Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literatureJ Vasc Surg38969974CrossRefPubMed Tessier, DJ, Stone, WM, Fowl, RJ,  et al. 2003Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literatureJ Vasc Surg38969974CrossRefPubMed
6.
go back to reference Roček, M, Peregrin, JH, Dutka, J, et al. 2002Percutaneous treatment of a superior mesenteric artery pseudoaneurysm using a stent-graftAm J Roentgenol17814591461CrossRef Roček, M, Peregrin, JH, Dutka, J,  et al. 2002Percutaneous treatment of a superior mesenteric artery pseudoaneurysm using a stent-graftAm J Roentgenol17814591461CrossRef
7.
go back to reference McGraw, JK, Patzik, SB, Gale, SS, et al. 1998Autogenous vein-covered stent for the endovascular management of a superior mesenteric artery pseudoaneurysmJ Vasc Interv Radiol9779782CrossRefPubMed McGraw, JK, Patzik, SB, Gale, SS,  et al. 1998Autogenous vein-covered stent for the endovascular management of a superior mesenteric artery pseudoaneurysmJ Vasc Interv Radiol9779782CrossRefPubMed
8.
go back to reference Zelenock, GB, Stanley, JC (2000)Splanchnic artery aneurysmsRutheford, RB eds. Vascular Surgery5SaundersPhiladelphia13691382 Zelenock, GB, Stanley, JC (2000)Splanchnic artery aneurysmsRutheford, RB eds. Vascular Surgery5SaundersPhiladelphia13691382
9.
go back to reference Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitisArch Surg1184551CrossRefPubMed Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitisArch Surg1184551CrossRefPubMed
10.
go back to reference Ogino, H, Banno, T, Sato, Y, et al. 2004Superior mesenteric artery stent-graft placement in a patient with pseudoaneurysm developing from pancreatic pseudocystCardiovasc Intervent Radiol276870CrossRefPubMed Ogino, H, Banno, T, Sato, Y,  et al. 2004Superior mesenteric artery stent-graft placement in a patient with pseudoaneurysm developing from pancreatic pseudocystCardiovasc Intervent Radiol276870CrossRefPubMed
11.
go back to reference Dias, NV, Ivancev, K, Malina, M, et al. 2003Does the wide application of endovascular AAA repair affect the results of open surgery?Eur J Vasc Endovasc Surg26188194CrossRefPubMed Dias, NV, Ivancev, K, Malina, M,  et al. 2003Does the wide application of endovascular AAA repair affect the results of open surgery?Eur J Vasc Endovasc Surg26188194CrossRefPubMed
12.
go back to reference Henry, M, Amor, M, Henry, I, et al. 2000Percutaneous endovascular treatment of peripheral aneurysmJ Cardiovasc Surg41871883 Henry, M, Amor, M, Henry, I,  et al. 2000Percutaneous endovascular treatment of peripheral aneurysmJ Cardiovasc Surg41871883
13.
go back to reference Chant, H, Davies, JN, Woodburn, K, et al. 2003Successful treatment of a splenic artery aneurysm: a new use for the Wallgraft endoprothesisEJVES Extra58991CrossRef Chant, H, Davies, JN, Woodburn, K,  et al. 2003Successful treatment of a splenic artery aneurysm: a new use for the Wallgraft endoprothesisEJVES Extra58991CrossRef
14.
go back to reference Kasir, D, Macierewicz, J, Castillo-Rama, M, et al. 2003Stent-graft repair of proximal splenic artery aneurysmEJVES Extra66263CrossRef Kasir, D, Macierewicz, J, Castillo-Rama, M,  et al. 2003Stent-graft repair of proximal splenic artery aneurysmEJVES Extra66263CrossRef
15.
go back to reference Beattie, GC, Hardman, JG, Redhead, D, et al. 2003Evidence for a central role for selective mesenteric angiography in the management of the major vascular complications of pancreatitisAm J Surg18596102CrossRefPubMed Beattie, GC, Hardman, JG, Redhead, D,  et al. 2003Evidence for a central role for selective mesenteric angiography in the management of the major vascular complications of pancreatitisAm J Surg18596102CrossRefPubMed
16.
go back to reference Tan, M, Di Carlo, A, Stein, LA, et al. 2001Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stentingTransplantation72336338CrossRefPubMed Tan, M, Di Carlo, A, Stein, LA,  et al. 2001Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stentingTransplantation72336338CrossRefPubMed
17.
go back to reference Inglese, L, Lupattelli, T, Carbone, GL, et al. 2004Axillary artery access for interventional proceduresJ Endovasc Ther11414418CrossRefPubMed Inglese, L, Lupattelli, T, Carbone, GL,  et al. 2004Axillary artery access for interventional proceduresJ Endovasc Ther11414418CrossRefPubMed
18.
go back to reference Ishida, M, Kato, N, Hirano, T, et al. 2003Dissecting aneurysm of the superior mesenteric artery successfully treated by endovascular stent-graft placementCardiovasc Intervent Radiol26403406CrossRefPubMed Ishida, M, Kato, N, Hirano, T,  et al. 2003Dissecting aneurysm of the superior mesenteric artery successfully treated by endovascular stent-graft placementCardiovasc Intervent Radiol26403406CrossRefPubMed
19.
go back to reference Cohn, JM, Molavi, B, Collar, A 1999Stenting of a superior mesenteric artery lesion via the right arm approachJ Invasive Cardiol11503505PubMed Cohn, JM, Molavi, B, Collar, A 1999Stenting of a superior mesenteric artery lesion via the right arm approachJ Invasive Cardiol11503505PubMed
20.
go back to reference Larson, RA, Solomon, J, Carpenter, JP 2002Stent graft repair of visceral artery aneurysmsJ Vasc Surg3612601263CrossRefPubMed Larson, RA, Solomon, J, Carpenter, JP 2002Stent graft repair of visceral artery aneurysmsJ Vasc Surg3612601263CrossRefPubMed
21.
go back to reference Carmeci Ch, , McClenathan, J 2000Visceral artery aneurysm as seen in a community hospitalAm J Surg179486489CrossRef Carmeci Ch, , McClenathan, J 2000Visceral artery aneurysm as seen in a community hospitalAm J Surg179486489CrossRef
22.
go back to reference Elford, J, Barcell, C, Freeman, S, et al. 2002Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysmsCardiovasc Intervent Radiol25115118CrossRefPubMed Elford, J, Barcell, C, Freeman, S,  et al. 2002Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysmsCardiovasc Intervent Radiol25115118CrossRefPubMed
23.
go back to reference Kemmeter, P, Bonnell, B, Vander Kolk, W, et al. 2002Percutaneous thrombin injection of splanchnic artery aneurysm: two case reportsJ Vasc Intervent Radiol11469472CrossRef Kemmeter, P, Bonnell, B, Vander Kolk, W,  et al. 2002Percutaneous thrombin injection of splanchnic artery aneurysm: two case reportsJ Vasc Intervent Radiol11469472CrossRef
24.
go back to reference Sparrow, P, Asquith, J, Chalmers, N 2003Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombinCardiovasc Intervent Radiol26312315CrossRefPubMed Sparrow, P, Asquith, J, Chalmers, N 2003Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombinCardiovasc Intervent Radiol26312315CrossRefPubMed
25.
go back to reference Chan RP, David E (2004) Reperfusion of splanchnic artery aneurysm following transcatether embolization: treatment with percutaneous thrombin injection. Cardiovasc Intervent Radiol 27:264–267PubMed Chan RP, David E (2004) Reperfusion of splanchnic artery aneurysm following transcatether embolization: treatment with percutaneous thrombin injection. Cardiovasc Intervent Radiol 27:264–267PubMed
26.
27.
go back to reference Cope, C, Zeit, R 1986Coagulation of aneurysms by direct percutaneous thrombin injectionAm J Roentgenol147383387CrossRef Cope, C, Zeit, R 1986Coagulation of aneurysms by direct percutaneous thrombin injectionAm J Roentgenol147383387CrossRef
28.
go back to reference Ellis, PK, Kennedy, PT, Collins, AJ 2003The use of direct thrombin injection to treat a type II endoleak following endovascular repair of abdominal aortic aneurysmCardiovasc Intervent Radiol26482484CrossRefPubMed Ellis, PK, Kennedy, PT, Collins, AJ 2003The use of direct thrombin injection to treat a type II endoleak following endovascular repair of abdominal aortic aneurysmCardiovasc Intervent Radiol26482484CrossRefPubMed
29.
go back to reference Bush, RL, Lin, PH, Ronson, RS, et al. 2001Colonic necrosis subsequent to catheter-directed thrombin embolization of the inferior mesenteric artery via the superior mesenteric artery: a complication in the management of a type II endoleakJ Vasc Surg3411191122CrossRefPubMed Bush, RL, Lin, PH, Ronson, RS,  et al. 2001Colonic necrosis subsequent to catheter-directed thrombin embolization of the inferior mesenteric artery via the superior mesenteric artery: a complication in the management of a type II endoleakJ Vasc Surg3411191122CrossRefPubMed
30.
go back to reference Manazer, JR, Monzon, JR, Dietz, PA, et al. 2003Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injectionJ Vasc Surg38600602CrossRefPubMed Manazer, JR, Monzon, JR, Dietz, PA,  et al. 2003Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injectionJ Vasc Surg38600602CrossRefPubMed
31.
go back to reference Ohki, T, Stern, D, Allen, M, et al. 2004Wireless pressure sensing of aneurysmsEndovasc Today44752 Ohki, T, Stern, D, Allen, M,  et al. 2004Wireless pressure sensing of aneurysmsEndovasc Today44752
Metadata
Title
Percutaneous Thrombin Injection to Complete SMA Pseudoaneurysm Exclusion After Failing of Endograft Placement
Authors
Piotr Szopiński
Piotr Ciostek
Eliza Pleban
Jarosław Iwanowski
Małgorzata Serafin- Król
Agnieszka Marianowska
Wojciech Noszczyk
Publication date
01-05-2005
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 4/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-0160-z

Other articles of this Issue 4/2005

CardioVascular and Interventional Radiology 4/2005 Go to the issue

OriginalPaper

LETTER TO EDITOR