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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.

Published byFrancine Laperrière Modified over 5 years ago

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Presentation on theme: "Translumbar thrombin embolization of an aortic pseudoaneurysm complicating lumbar disk surgery  Geert Maleux, MD, Didier Bielen, MD, Sam Heye, MD, Patrick."— Presentation transcript:

1 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 (July 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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

3 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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