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Paravertebral Pseudoaneurysm Thrombosed after Percutaneous Thrombin Injection

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Annals of Vascular Surgery

Abstract

We present a case of a lumbar pseudoaneurysm in a 62-year-old patient with myelofibrosis (agnogenic myeloid metaplasia). The patient was submitted to two anesthetic infiltrations for lumbar pain and one biopsy of a suspected hematopoietic site. Subsequently, a 4.5 cm lumbar pseudoaneurysm was diagnosed. The pseudoaneurysm was thrombosed with 1 ml (500 IU) thrombin injection with a successful clinical result. We discuss different treatment options along with several issues related to the most frequent complication of this technique, namely, native artery thrombosis.

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References

  1. C Cope R Zeit (1986) ArticleTitleCoagulation of aneurysms by direct percutaneous thrombin injection A.J.R. Am J Roentgenol 147 383–387 Occurrence Handle1:STN:280:BimB28ritVc%3D

    CAS  Google Scholar 

  2. M Reus D Morales V Vazquez S Llorente J Alonso (2002) ArticleTitleUltrasound-guided percutaneous thrombin injection for treatment of extrarenal pseudoaneurysm after renal transplantation Transplantation 74 882–884 Occurrence Handle10.1097/00007890-200209270-00025 Occurrence Handle12364872

    Article  PubMed  Google Scholar 

  3. AG Shabani GM Baxter (2002) ArticleTitleInferior epigastric artery pseudoaneurysm: ultrasound diagnosis and treatment with percutaneous thrombin Br J Radiol 75 689–691 Occurrence Handle1:STN:280:DC%2BD38vgsVaqsA%3D%3D Occurrence Handle12153944

    CAS  PubMed  Google Scholar 

  4. DW Ramsay M Marshall (2002) ArticleTitleLumbar artery pseudoaneurysm following renal biopsy: treatment with ultrasound-guided thrombin injection Australas. Radiol 46 201–203 Occurrence Handle10.1046/j.1440-1673.2001.01038.x Occurrence Handle12060164

    Article  PubMed  Google Scholar 

  5. R Holder D Hilton J Martin PL Harris PC Rowlands RG McWilliams (2002) ArticleTitlePercutaneous thrombin injection of carotid artery pseudoaneurysm J Endovasc Ther 9 25–28 Occurrence Handle10.1583/1545-1550(2002)009<0025:PTIOCA>2.0.CO;2 Occurrence Handle11958321

    Article  PubMed  Google Scholar 

  6. O Benjaminov M Atri (2002) ArticleTitlePercutaneous thrombin injection for treatment of an intrarenal pseudoaneurysm A.J.R. Am. J. Roentgenol 178 364–366

    Google Scholar 

  7. JA Pezzullo MT Wallach (2002) ArticleTitleSuccessful percutaneous thrombin injection of a brachial artery pseudoaneurysm in a neonate A.J.R. Am J Roentgenol 178 244–245

    Google Scholar 

  8. SS Kang N Labropoulos M Ashraf Mansour et al. (2000) ArticleTitleExpanded indications for ultrasound-guided thrombin injection of pseudoaneurysms J Vasc Surg 31 289–298 Occurrence Handle10.1016/S0741-5214(00)90160-5 Occurrence Handle1:STN:280:DC%2BD3c7jtVCmtA%3D%3D Occurrence Handle10664498

    Article  CAS  PubMed  Google Scholar 

  9. SR Kemmerer PP Piampiano DC Smith (2000) ArticleTitleTreatment of subclavian artery pseudoaneurysm with use of US-guided percutaneous thrombin injection J Vasc Interv Radiol 11 1039–1042 Occurrence Handle1:STN:280:DC%2BD3cvksFKqsA%3D%3D Occurrence Handle10997467

    CAS  PubMed  Google Scholar 

  10. DM Olsen JA Rodriguez M Vranic V Ramaiah R Ravi EB Diethrich (2002) ArticleTitleA prospective study of ultrasound scan-guided thrombin injection of femoral pseudoaneurysm: a trend toward minimal medication J Vasc Surg 36 779–782

    Google Scholar 

  11. A Lennox M Griffin A Nicolaides A Mansfield (1998) ArticleTitleRegarding “Percutaneous ultrasound guided thrombin injection: a new method for treating postcatheterization femoral pseudoaneurysms” J Vasc Surg 28 1120–1121 Occurrence Handle1:STN:280:DyaK1M7htlGrug%3D%3D Occurrence Handle9917209

    CAS  PubMed  Google Scholar 

  12. BS Taylor RY Rhee S Muluk et al. (1999) ArticleTitleThrombin injection versus compression of femoral artery pseudoaneurysms J Vasc Surg 30 1052–1059 Occurrence Handle1:STN:280:DC%2BD3c%2FlsVKlsA%3D%3D Occurrence Handle10587389

    CAS  PubMed  Google Scholar 

  13. S Sultan S Nicholls P Madhavan MP Colgan D Moore G Shanik (2001) ArticleTitleUltrasound guided human thrombin injection. A new modality in the management of femoral artery pseudo-aneurysms Eur. J. Vasc. Endovasc. Surg 22 542– 545 Occurrence Handle10.1053/ejvs.2001.1519 Occurrence Handle1:STN:280:DC%2BD3MnptFKjtw%3D%3D Occurrence Handle11735204

    Article  CAS  PubMed  Google Scholar 

  14. EGJ Vermeulen U Umans A Rijbroek JA Rauwerda (2000) ArticleTitlePercutaneous duplex-guided thrombin injection for treatment of iatrogenic femoral artery pseudoaneurysms Eur J Vasc Endovasc Surg 20 302–304

    Google Scholar 

  15. SS Kang N Labropoulos M Ashraf Mansour WH Baker (1998) ArticleTitlePercutaneous ultrasound guided thrombin injection: a new method for treating postcatheterization femoral pseudoaneurysms J Vasc Surg 27 1032–1038 Occurrence Handle1:STN:280:DyaK1czhsVGksQ%3D%3D Occurrence Handle9652465

    CAS  PubMed  Google Scholar 

  16. H Feneis (1984) Nomenclatura Anatómica Ilustrada Salvat Editores, S.A. Lisbon, Portugal 209

    Google Scholar 

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Correspondence to Salvador Luján MD, RVT.

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Luján, S., Puras, E., Cancer, S. et al. Paravertebral Pseudoaneurysm Thrombosed after Percutaneous Thrombin Injection. Ann Vasc Surg 19, 421–424 (2005). https://doi.org/10.1007/s10016-005-0019-z

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  • DOI: https://doi.org/10.1007/s10016-005-0019-z

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