Department of Radiology, The University of Chicago, 5841 S. Maryland Ave., MC2026, Chicago, IL, 60637, USA,
Pediatr Radiol. 2013 Nov;43(11):1532-5. doi: 10.1007/s00247-013-2705-2. Epub 2013 May 10.
Percutaneous thrombin injection has been described in case reports as an alternative to surgical intervention for the treatment of hepatic artery pseudoaneurysms associated with high-grade liver lacerations in adults. However, there is limited description in the literature of this technique being applied in children, particularly in preadolescents, and no published literature describes its use in infants. The procedure can be performed by pediatric radiologists and pediatric interventional radiologists skilled in ultrasound-guided aspiration techniques. We report successful application of percutaneous thrombin injection in an infant to treat a pseudoaneurysm of a left hepatic arterial branch in an 11-month-old girl with a grade IV liver laceration after superselective transcatheter arterial embolization failed to achieve thrombosis.
经皮凝血酶注射已在病例报告中被描述为治疗成人伴高级别肝裂伤的肝动脉假性动脉瘤的一种替代手术干预方法。然而，该技术在儿童中应用的描述有限，特别是在青春期前儿童中，并且没有文献描述其在婴儿中的应用。该操作可以由儿科放射科医生和擅长超声引导抽吸技术的儿科介入放射科医生进行。我们报告了一例 11 个月大的女孩，在超选择性经导管动脉栓塞术未能实现血栓形成后，因 IV 级肝裂伤而行左肝动脉分支假性动脉瘤，成功应用经皮凝血酶注射治疗。
