Jhajharia Ashok, Wanjari Shashank, Ashdhir Prachis, Sharma Deepak, Pokharna Rupesh, Nijhawan Sandeep
Department of Gastroenterology, SMS Medical College and Hospital, House No. 109, Shiv Vihar Infront of Road No 5, VKI Sikar Road, Jaipur, 302 004, India.
Indian J Gastroenterol. 2018 May;37(3):271-275. doi: 10.1007/s12664-018-0865-6. Epub 2018 Jul 4.
Visceral artery pseudoaneurysm is a rare and potentially life-threatening vascular entity with a high mortality rate, conventionally managed with digital subtraction angiography with coil embolization or surgery. However, in cases where angiographic coil embolization is not possible due to technical reasons, computerized tomography (CT)/ultrasonography-guided thrombin injection remains a viable option as described in the literature. In this case series, we intend to highlight the role of endoscopic ultrasound-guided thrombin injection in the management of abdominal visceral artery pseudoaneurysm, which is either inaccessible by endovascular route or have high surgical risk of complication.
内脏动脉假性动脉瘤是一种罕见且可能危及生命的血管病变，死亡率很高，传统上通过数字减影血管造影结合弹簧圈栓塞或手术进行治疗。然而，在因技术原因无法进行血管造影弹簧圈栓塞的情况下，如文献所述，计算机断层扫描（CT）/超声引导下注射凝血酶仍是一种可行的选择。在本病例系列中，我们旨在强调内镜超声引导下注射凝血酶在治疗腹部内脏动脉假性动脉瘤中的作用，这些动脉瘤要么无法通过血管内途径到达，要么手术并发症风险很高。
