Ultrasound-guided percutaneous thrombin for the management of superior mesenteric artery pseudoaneurysm Patrick Casey, MBChB, Ambareen Kausar, FRCS,

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Presentation transcript:

Ultrasound-guided percutaneous thrombin for the management of superior mesenteric artery pseudoaneurysm Patrick Casey, MBChB, Ambareen Kausar, FRCS, Duncan Gavan, FRCR, Neil Wilde, FRCR Journal of Vascular Surgery Cases Volume 1, Issue 3, Pages 211-213 (September 2015) DOI: 10.1016/j.jvsc.2015.06.001 Copyright © 2015 Terms and Conditions

Fig 1 Arterial-phase axial computed tomography (CT) scan demonstrating 5.6-cm aneurysm arising from a branch of the superior mesenteric artery. Journal of Vascular Surgery Cases 2015 1, 211-213DOI: (10.1016/j.jvsc.2015.06.001) Copyright © 2015 Terms and Conditions

Fig 2 Ultrasound image showing absence of Doppler flow in the thrombosed aneurysm sac 3 days after thrombin injection. Journal of Vascular Surgery Cases 2015 1, 211-213DOI: (10.1016/j.jvsc.2015.06.001) Copyright © 2015 Terms and Conditions

Fig 3 Coronal (a) and axial (b) arterial-phase computed tomography (CT) images 1 month after thrombin injection. The aneurysm sac has reduced in size to 4.4 cm and remains occluded. The 8-month follow-up CT scan shows virtually complete resolution of the aneurysm sac on coronal (c) and axial (d) views. Journal of Vascular Surgery Cases 2015 1, 211-213DOI: (10.1016/j.jvsc.2015.06.001) Copyright © 2015 Terms and Conditions