Translumbar thrombin embolization of an aortic pseudoaneurysm complicating lumbar disk surgery Geert Maleux, MD, Didier Bielen, MD, Sam Heye, MD, Patrick.

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Translumbar thrombin embolization of an aortic pseudoaneurysm complicating lumbar disk surgery Geert Maleux, MD, Didier Bielen, MD, Sam Heye, MD, Patrick Van Schaeybroeck, MD, André Nevelsteen, MD, PhD, Dirk Vanbeckevoort, MD Journal of Vascular Surgery Volume 42, Issue 1, Pages 163-167 (July 2005) DOI: 10.1016/j.jvs.2005.03.032 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Flush aortography demonstrates a large pseudoaneurysm (arrows) at the aortic bifurcation. Journal of Vascular Surgery 2005 42, 163-167DOI: (10.1016/j.jvs.2005.03.032) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Axial (A) and sagittal (B) reconstructed computed tomography images clearly show the recurrent pseudoaneurysm (asterisk) posterior to the aortic bifurcation (arrow). Journal of Vascular Surgery 2005 42, 163-167DOI: (10.1016/j.jvs.2005.03.032) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Computed tomography-guided puncture of the pseudoaneurysmal cavity (asterisk) with the patient in procubitus. Note the presence of two needles: The malpositioned lateral needle (arrowhead) was used to guide the placement of the second needle (arrow) more medially and with its tip in the middle of the pseudoaneurysmal lumen (asterisk). This was the correct positioning of the needle to perform the thrombin injection. Journal of Vascular Surgery 2005 42, 163-167DOI: (10.1016/j.jvs.2005.03.032) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Control computed tomography scan 10 months after thrombin injection reveals a small residual hematoma (arrow) posterior to the aortic bifurcation. Journal of Vascular Surgery 2005 42, 163-167DOI: (10.1016/j.jvs.2005.03.032) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions