CASE REPORTS   

Minerva Chirurgica 2007 June;62(3):205-9

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Combined endovascular intervention and percutaneous thrombin injection in the treatment of iatrogenic pseudoaneurysm. Case report

Gabriel M. ¹, Juszkat R. ², Pukacki F. ¹, Waliszewski K. ¹

¹ Department of General and Vascular Surgery University of Medical Sciences in Poznan, Poznan, Poland 2 Vascular Laboratory Department of Radiology University of Medical Sciences in Poznan, Poznan, Poland

One of the basic techniques of treatment of iatrogenic pseudoaneurysms is percutaneous thrombin injection. Unfortunately, success rate of this treatment can be limited in cases associated with extensive damage to arterial wall. Our paper presents one case of combined treatment involving endovascular occlusion of the entry to the false aneurysm and percutaneous thrombin injection into the pseudoaneurysm chamber. In our opinion this technique can be successfully applied in patients with contraindications for compression therapy, surgical intervention or failure of traditional injection due to large entry, multiple arterial wall damage or accompanying arteriovenous fistula.