Ultrasound-guided percutaneous thrombin injection for treatment of extrarenal pseudoaneurysm after renal transplantation.

Abstract

A patient who received two kidney transplants was placed on hemodialysis after failure of both grafts. He had complained of abdominal pain during the preceding month and was found to have a pulsating mass in his right pelvic region. Computed tomography and color Doppler studies showed a large pseudoaneurysm of the common iliac artery. We describe the treatment of this lesion by the use of ultrasound-guided thrombin injection. To the best of our knowledge, this is the first report regarding the use of ultrasound-guided percutaneous thrombin injection for treatment of such a pseudoaneurysm.

Renal pseudoaneurysm following laser lithotripsy: Endovascular treatment of a rare complication

“…However, reports of successful endovascular techniques have been published with preservation of the graft function [1,3,13]. In the absence of infection, asymptomatic extrarenal pseudoaneurysms can be treated conservatively with strict observation [5].…”

Posttraumatic Pseudoaneurysm of the Hepatic Artery: Treatment with Ultrasound-Guided Percutaneous Transhepatic Thrombin Injection

“…The most significant risk is possible downstream arterial embolization. 23,24 This risk is reduced if the needle is carefully placed as far as possible from the neck of the pseudoaneurysm and if thrombin is slowly injected under continuous control by Doppler ultrasonography. 24 The second most significant risk is the possibility of allergy.…”

“…23,24 This risk is reduced if the needle is carefully placed as far as possible from the neck of the pseudoaneurysm and if thrombin is slowly injected under continuous control by Doppler ultrasonography. 24 The second most significant risk is the possibility of allergy. Pope and Johnston 25 reported a case of anaphylactic reaction in a patient with a history of repeated exposures to topical bovine thrombin during dialysis.…”

“…25 Thrombin of human origin has come into use more recently, and it should theoretically reduce the risk of allergic reactions. 24 In summary, intraparenchymal aneurysms and pseudoaneurysms of the hepatic artery are uncommon complications of liver trauma. Only 20 cases have been reported previously in the medical literature.…”

Treatment of a radial artery pseudoaneurysm with ultrasound‐guided percutaneous thrombin injection in a patient with Behçet's syndrome

“…8 Case reports of ultrasound-guided percutaneous thrombin injection into the lumen of a pseudoaneurysm have provided evidence that thrombosis of the lumen of a femoral iatrogenic pseudoaneurysm is safe and efficient. [9][10][11] This technique's range of applications has recently increased, 9-11 yet we know of no published case reports on its use in the treatment of pseudoaneurysms in patients with Behçet's syndrome.…”