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Myocardial Infarction by Percutaneous Embolization Coil Deployment in a Swine Model
Published on: November 4, 2021
Coil embolization of inferior epigastric artery pseudoaneurysm after percutaneous thrombin injection failure: a case
Miltiadis Krokidis1, Adam Hatzidakis, John Petrakis
1Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Heraklion, Greece. mkrokidis@hotmail.com
Abstract:
We report a case of a 71-year old woman with right inferior epigastric artery pseudoaneurysm following laceration by a computed tomography-guided 18G biopsy needle. The laceration was initially treated with placement of retained sutures; however the patient turned hemodynamically unstable 41 days later. Percutaneous ultrasound-guided injection of 1500 U of thrombin solution resulted in almost complete thrombosis of the pseudoaneurysm; however 24 hour control ultrasound revealed refilling of the pseudoaneurysm. Definite treatment was achieved by transcatheter coil embolization. Inferior epigastric artery pseudoaneurysm with underlying laceration may not respond to percutaneous thrombin injection, whereas coil embolization is shown to be effective.
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