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CT-gesteuerte Thrombininjektion zur Behandlung des Typ-II-Endoleaks nach endovaskulärer Aneurysmatherapie

CT controlled thrombin injection for the treatment of type II endoleaks after endovascular aneurysm therapy

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Zusammenfassung

Endoleaks nach endovaskulärer Behandlung des infrarenalen abdominellen Aortenaneurysmas sind eine häufige spezielle Komplikation dieser Therapieform. Ihre Charakterisierung erfolgt gemäß der Klassifikation nach Veith und Baum. Die übliche Therapie ist die Embolisation der zum Endoleak führenden Arterien, eine proximale oder distale Augmentation oder die Konversionsoperation. Die von uns vorgestellte CT-gesteuerte Thrombininjektion ist ein neues, einfaches, komplikationsarmes und erfolgreiches Verfahren; dieses könnte die aufwändige, komplikationsträchtige und teure Embolisationsbehandlung zunehmend ersetzen.

Abstract

Endoleaks are a common complication after endovascular treatment of abdominal infrarenal aortic aneurysm. They are classified after Veith and Baum. Therapy involves embolisation, proximal and distal augmentation or conversion surgery. We present the CT-guided thrombin injection as a new, simple, cheap and successful procedure, potentially able to replace expensive embolisation which involves significant complications.

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Authors and Affiliations

  1. Abteilung für Röntgendiagnostik, Zentrum für operative Medizin, Universität Würzburg

    R. Moll, P. Range & G. Schindler

  2. Abteilung für Gefäßchirurgie, Chirurgische Universitätsklinik Würzburg

    A. Larena, M. Fein & S. Franke

  3. Institut für Diagnostische und Interventionelle Radiologie, Krankenhaus Siloah, Pforzheim

    R. Moll

  4. Institut für Diagnostische und Interventionelle Radiologie, Krankenhaus Siloah, Wilferdinger Str. 67, 75179 , Pforzheim

    R. Moll

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  1. R. Moll
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  2. A. Larena
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  3. M. Fein
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  4. P. Range
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  5. S. Franke
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  6. G. Schindler
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Correspondence to R. Moll.

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Moll, R., Larena, A., Fein, M. et al. CT-gesteuerte Thrombininjektion zur Behandlung des Typ-II-Endoleaks nach endovaskulärer Aneurysmatherapie. Gefässchirurgie 10, 428–432 (2005). https://doi.org/10.1007/s00772-005-0431-2

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  • DOI: https://doi.org/10.1007/s00772-005-0431-2

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