Percutaneous thrombin injection under sonographic guidance for exclusion of non-catheterizable post-pancreatitis pseudoaneurysm of the superior mesenteric artery: a minimally invasive and expeditious treatment option

详细信息    查看全文

• 作者：Udit Chauhan ; Sunil Kumar Puri ; Neeraj Jain ; Lalit Garg…
• 关键词：Percutaneous ; Sonographic ; Post ; pancreatitis ; Pseudoaneurysm ; Visceral
• 刊名：Journal of Medical Ultrasonics
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：43
• 期：2
• 页码：295-299
• 全文大小：6,643 KB
• 参考文献：1.Hamel E, Parc A, Adda R, et al. Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg. 1991;78:1059–63.CrossRef PubMed
  2.Tadao M, Yuji O. Role of free radicals in the development of severe acute pancreatitis. Nippon Rinsho. 2004;62:2015–20.PubMed
  3.Schwartz LB, Clark ET, Gewertz BL. Anastomotic and other pseudoaneurysms. In: Rutherford RB, editor. Vascular surgery. 5th ed. Philadelphia: Saunders; 2000. p. 752–63.
  4.Manazer JR, Monzon JR, Dietz PA, et al. Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg. 2003;38:600–2.CrossRef PubMed
  5.Kresowik TF, Khoury MD, Miller BV, et al. A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty. J Vasc Surg. 1991;13:328–33.CrossRef PubMed
  6.Munera F, Soto JA, Palacio D, et al. Diagnosis of arterial injuries caused by penetrating trauma to the neck: comparison of helical CT angiography and conventional angiography. Radiology. 2000;216:356–62.CrossRef PubMed
  7.Saad NE, Saad WE, Davies MG, et al. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radio Graph. 2005;25:S173–89.
  8.Kang SS, Labropoulos N, Mansour MA, et al. Expanded indications for ultrasoundguided thrombin injection of pseudoaneurysms. J Vasc Surg. 2000;31:289–98.CrossRef PubMed
  
• 作者单位：Udit Chauhan (1)
  Sunil Kumar Puri (1)
  Neeraj Jain (1)
  Lalit Garg (1)
  Abhay Kapoor (1)
  Nishant Gupta (1)
  Vandana Goel (1)
  
  1. GB Pant Institute of Post Graduate Medical Education and Research Delhi, Delhi, India
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

Post-pancreatitis pseudoaneurysms are not uncommon. They have a high associated mortality due to a propensity to rupture. Current standards of treatment advocate immediate intravascular interventions. We describe two cases of alcohol-related post-acute pancreatitis pseudoaneurysms arising from the second-order branches of the superior mesenteric artery (SMA) that were endoluminally inaccessible. Both cases were successfully treated with percutaneous thrombin injection into the pseudoaneurysm sac under ultrasound guidance. We suggest that endoluminally inaccessible pseudoaneurysms that are percutaneously accessible can be expeditiously treated with percutaneous thrombin injection. Further, due to the efficaciousness of this procedure, it could be considered as a first-line minimally invasive therapeutic option.