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Thrombin injection of a pancreaticoduodenal artery pseudoaneurysm after failed attempts at transcatheter embolization
Azad Ghassemi1, Daniel Javit, Evan H Dillon
1Lenox Hill Hospital, Department of Radiology, New York, NY 10021, USA. azadology@yahoo.com
Journal of Vascular Surgery
|March 8, 2006
Abstract:
We describe a case of a pseudoaneurysm of the pancreaticoduodenal artery in a patient with history of cholecystectomy and chronic pancreatitis. Attempts at transcatheter coil embolotherapy failed because of vessel tortuosity. The lesion was then successfully treated by computed tomography-guided direct percutaneous injection of thrombin into the pseudoaneurysm. This technique may be a first line of treatment or a useful adjunct to transcatheter embolization technique.