Internal iliac artery aneurysm embolization with direct percutaneous puncture and thrombin injection

Abstract

Endoleak it is the most common complication after endovascular abdominal aortic aneurysm repair and it represents the failure of endovascular treatment. In particular type 2 endoleak is associated with retrograde flow in the aneurysm sac from one or more arterial branches.We describe a reperfusion of the aortic aneurysm sac with slow-flow type II endoleak from the right internal iliac artery aneurysm through the posterior door previously closed with coils, and treatment with direct puncture of the internal iliac artery aneurysm with infixion of human thrombin under ultrasound guidance, not previously described in the literature.In this case the direct puncture of the aneurysm sac was the faster and safer way to treat this patient just because the back door was closed by coils and the entry by the iliac graft.Thrombin reduces significantly the presence of artifacts and give to us the exact extension of thrombosis into the aneurysm sac and the echo-guided offers the advantage of being able to monitor the progression of the thrombotic process induced by thrombin injection in real time.

Balloon-assisted, ultrasound-guided percutaneous real-time thrombin injection, for the arteriovenous fistula pseudoaneurysm treatment

“…In this case, ultrasound-guided local thrombin injection has the advantage of being a low cost, to guarantee the effectiveness of treatment, not needing sedation, less traumatic, technically simple procedure in experienced hands, paying highly attention to avoid non-target embolization [7] . Moreover, thrombin reduces significantly the presence of artifacts at the CT scan and gives us the exact extension of thrombosis into the aneurysm sac, while the ultrasound-guided offers the advantage of monitoring the progression of the thrombotic process induced by thrombin injection in real time [8] , without X-rays use.…”

Branching pattern of the internal iliac artery accompanied by a venous anastomosis: rare vascular variations

“…Understanding the elusive branching pattern of the IIA is invaluable for clinicians, especially gynecologists [3]. This knowledge is likely to prove essential during surgical procedures in which a certain part of the artery needs to be ligated in order to control pelvic hemorrhage.…”

Computed Tomography Imaging Agent Based on Gold Nanoparticles for Internal Iliac Artery Embolization after Endovascular Abdominal Aortic Repair and CCN3 Protection Mechanism

“…Clinical studies have shown that early diagnosis and early treatment are the most effective ways to reduce cancer mortality. Therefore, it is an urgent problem to be solved in the field of biomedicine to strive for new methods of early specific diagnosis of cancer [6]. There are many clinical diagnostic methods for tumors, and imaging is the most widely used clinical examination method.…”