Abstract
This report describes the use of thrombin to treat a type II endoleak which was causing continued abdominal aortic aneurysm expansion in a patient who had undergone endovascular repair. A small quantity of thrombin was injected into the leak by a percutaneous approach directly into the aneurysm sac using color doppler ultrasound. The procedure was successful and required only a few minutes to perform. We believe this procedure is an alternative to some of the more complex and technically challenging means of treating this lesion.
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RG McWilliams J Martin D White et al. (1999) ArticleTitleUse of contrast enhanced ultrasound in followup after endovascular aortic aneurysm repair. J Vasc Interv Radiol 10 1107–1114 Occurrence Handle1:STN:280:DyaK1MvisFSgtg%3D%3D Occurrence Handle10496715
RA Baum JP Carpenter SW Stavropoulous RM Fairman (2001) ArticleTitleDiagnosis and management of type II endoleaks after endovascular aneurysm repair. Tech Vasc Interv Radiol 4 222–226 Occurrence Handle1:STN:280:DC%2BD387mt1ektA%3D%3D Occurrence Handle11894049
F Liewald C Ermis J Gonch et al. (2001) ArticleTitleInfluence of treatment of type II leaks on the aneurysm surface area. Eur J Vasc Endovasc Surg 20 339–343 Occurrence Handle10.1053/ejvs.2001.1333
FR Arko GD Rubin BL Johnson et al. (2001) ArticleTitleType II endoleaks following endovascular AAA repair: preoperative predictors and long-term effects. J Endovasc Ther 8 503–510 Occurrence Handle1:STN:280:DC%2BD3MnntF2gtg%3D%3D Occurrence Handle11718410
SR Walker K Halliday SW Yusuf et al. (1998) ArticleTitleA study on the patency of the inferior mesenteric and lumbar arteries in the incidence of endoleak following endovascular repair of infra-renal aortic aneurysms. Clin Radiol 53 593–595 Occurrence Handle1:STN:280:DyaK1cvhsFygtg%3D%3D Occurrence Handle9744585
SR Walker J Macierewicz BR Hopkinson (1999) ArticleTitleEndovascular AAA repair: prevention of side branch endoleaks with thrombogenic sponge. J Endovasc Surg 6 350–353 Occurrence Handle10.1583/1074-6218(1999)006<0350:EARPOS>2.0.CO;2 Occurrence Handle1:STN:280:DC%2BD3czkvFahtQ%3D%3D Occurrence Handle10893138
DA Gould R McWilliams RD Edwards et al. (2001) ArticleTitleAortic side branch embolisation before endovascular aneurysm repair: incidence of type II endoleak. J Vasc Interv Radiol 12 337–341 Occurrence Handle1:STN:280:DC%2BD3M3gvVSntw%3D%3D Occurrence Handle11287511
RJ Hinchliffe R Singh-Ranger SC Whitaker BR Hopkinson (2002) ArticleTitleType II endoleak: transperitoneal sacotomy and ligation of side branch endoleaks responsible for aneurysm sac expansion. J Endovasc Ther 9 539–542 Occurrence Handle10.1583/1545-1550(2002)009<0539:TIETSA>2.0.CO;2 Occurrence Handle12223017
S Havlon A Tyazi S Willoteaux et al. (2001) ArticleTitleEmbolisation of type II endoleaks after aortic stent graft implantation: technique and immediate results. J Vasc Surg 34 600–605 Occurrence Handle10.1067/mva.2001.117888 Occurrence Handle1:STN:280:DC%2BD3MrmsFalug%3D%3D Occurrence Handle11668311
J Gorich N Rilinjer R Sokiranshi et al. (2000) ArticleTitleEmbolisation of type II endoleaks fed by the inferior mesenteric artery using the superior mesenteric artery approach. J Endovasc Ther 7 297–301 Occurrence Handle10.1583/1545-1550(2000)007<0297:EOTIEF>2.3.CO;2 Occurrence Handle1:STN:280:DC%2BD3M%2FltVCitg%3D%3D Occurrence Handle10958294
ML Martin BL Dolmatch PD Fry LS Machan (2001) ArticleTitleTreatment of type II endoleaks with onyx. J Vasc Interv Radiol 12 629–632 Occurrence Handle1:STN:280:DC%2BD3MvosVensA%3D%3D Occurrence Handle11340144
SS Kang N Labropoulous MA Monsour WH Baker (1998) ArticleTitlePercutaneous ultrasound guided thrombin injection: a new method for treating postcatheterisation femoral pseudoaneurysms. J Vasc Surg 27 1032–1038 Occurrence Handle1:STN:280:DyaK1czhsVGksQ%3D%3D Occurrence Handle9652465
JC Van den Berg RP Nolthenius JW Caspane FL Moll (2000) ArticleTitleCT-guided thrombin injection into aneurysm sac in a patient with endoleak after endovascular abdominal aortic aneurysm repair. AJR 175 1649–1651 Occurrence Handle1:STN:280:DC%2BD3M%2FnsFGmtQ%3D%3D Occurrence Handle11090397
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Ellis, P., Kennedy, P., Collins, A. et al. The Use of Direct Thrombin Injection to Treat a Type II Endoleak Following Endovascular Repair of Abdominal Aortic Aneurysm . CVIR 26, 482–484 (2003). https://doi.org/10.1007/s00270-003-0046-5
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DOI: https://doi.org/10.1007/s00270-003-0046-5