经导管栓塞术失败后，对胰十二指肠动脉假性动脉瘤进行凝血酶注射。
Thrombin injection of a pancreaticoduodenal artery pseudoaneurysm after failed attempts at transcatheter embolization.
作者信息
Ghassemi Azad, Javit Daniel, Dillon Evan H
机构信息
Lenox Hill Hospital, Department of Radiology, New York, NY 10021, USA.
出版信息
J Vasc Surg. 2006 Mar;43(3):618-22. doi: 10.1016/j.jvs.2005.11.051.
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.
我们描述了一例有胆囊切除术和慢性胰腺炎病史的患者发生胰十二指肠动脉假性动脉瘤的病例。由于血管迂曲，经导管弹簧圈栓塞治疗尝试失败。随后通过计算机断层扫描引导下直接经皮向假性动脉瘤内注射凝血酶成功治疗了该病变。该技术可能是一线治疗方法或经导管栓塞技术的有用辅助手段。
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