scholarly journals Ultrasound-guided glue injection of ileocolic artery aneurysm

2014 ◽  
Vol 35 (3) ◽  
pp. 183-185
Author(s):  
Srinivas M
Keyword(s):  
Artery Aneurysm ◽  
Ultrasound Guided ◽  
Ileocolic Artery ◽  
Glue Injection

Management of distal aneurysm of the superior mesenteric artery by percutaneous ultrasound-guided Onyx injection: A case report

Vascular ◽  
2020 ◽  
pp. 170853812096288
Author(s):  
Fabio Simoncini ◽  
Davide Mastrorilli ◽  
Luca Mezzetto ◽  
Alessandro Angrisano ◽  
Lorenzo Scorsone ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Transarterial Embolization ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Ultrasound Guided ◽  
Alternative Approach ◽  
Procedural Complication ◽  
Complete Thrombosis ◽  
The Right

Objectives The aim of this article is to report an alternative approach for the management of a distal aneurysm of superior mesenteric artery using direct percutaneous ultrasound-guided Onyx injection. Methods We report a rare case of symptomatic superior mesenteric artery aneurysm. A 78-year-old man presents with pain and pulsating mass in the right umbilical region of the abdomen. The patient was treated by percutaneous ultrasound-guided Onyx injection after several failing transarterial embolization attempts. Results The procedure was successful without any complication, and the patient wasdischarged to home the day after procedure. Follow-up at 60 months confirmed the complete thrombosis of the aneurysm sac. Ultrasound-guided Onyx injection for distal superior mesenteric artery aneurysm could provide an alternative to transcatheter arterial embolization or open surgery. Anatomical assessment of collaterals and knowledge of abdomen anatomy could play important roles in preventing bowel ischemia and minimizing the risk of procedural complication. Conclusion Ultrasound-guided Onyx injection of superior mesenteric artery aneurysm is a feasible, effective, and cost-saving technique that can be used when endovascular approach is not possible or has failed.

Ultrasound-Guided Glue Injection as Alternative Treatment of Femoral Pseudoaneurysms

2004 ◽  
Vol 27 (6) ◽  
pp. 612-615 ◽  
Author(s):  
C�neyt Aytekin ◽  
Ali Firat ◽  
Erkan Yildirim ◽  
Ismail Kirbas ◽  
Fatih Boyvat
Keyword(s):  
Alternative Treatment ◽  
Ultrasound Guided ◽  
Glue Injection

Visceral Artery Aneurysms: A Symptomatic Aneurysm of the Ileocolic Artery

Vascular ◽  
2007 ◽  
Vol 15 (3) ◽  
pp. 162-166
Author(s):  
Graham Roche-Nagle ◽  
David O'Donnell ◽  
Timothy O'Hanrahan
Keyword(s):  
Mortality Rate ◽  
Incidental Findings ◽  
Artery Aneurysm ◽  
Vascular Pathology ◽  
Visceral Artery ◽  
Visceral Artery Aneurysm ◽  
Ileocolic Artery ◽  
Visceral Artery Aneurysms ◽  
Therapeutic Procedures ◽  
Important Form

Visceral artery aneurysm is a rare but clinically important form of vascular pathology, showing a high mortality rate in emergency surgery. Most often these aneurysms cause no symptoms and are therefore incidental findings. Reports on ileocolic artery aneurysms are rare and often anecdotal. Therapeutic procedures can be performed either surgically or by interventional therapeutic techniques. This article presents a case of ruptured ileocolic artery aneurysm and reviews the literature on this topic.

A new approach to the treatment of post-catheterization pseudoaneurysms by ultrasound-guided tissue glue injection or ultrasound-guided thrombin injection depending on a late to early velocity index

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
L Zandecki ◽  
J Kurzawski ◽  
A Jaroszynska ◽  
L Piatek
Keyword(s):  
Treatment Method ◽  
Line Treatment ◽  
Thrombin Injection ◽  
Ultrasound Guided ◽  
First Line ◽  
Tissue Glue ◽  
Increased Risk ◽  
Psa Recurrence ◽  
Glue Injection ◽  
First Line Treatment

Abstract Background Ultrasound-guided thrombin injection (UGTI) is often the first-line treatment for iatrogenic post-catheterization pseudoaneurysms (psA). There are reports of the use of biologically-derived tissue glues (TG) instead of sole thrombin especially when UGTI was unsuccessful or in case of psA recurrence. TG are more potent procoagulants and may increase the procedure success rates at the cost of higher risk of complications in case too much substance escape into the patient's circulation during the procedure. TG are also more expensive than thrombin so they are often reserved for selected patients. We have previously identified a late to early velocity index (LEVI) <0.2 as a predictor of an increased risk of psA recurrence after standard UGTI. In the current paper we report our first experiences when the choice of the first-line treatment method was based on LEVI. Methods From May 2017 till January 2020 we included 36 patients with psA. Of them, 10 had LEVI <0.2 and they underwent ultrasound-guided tissue glue injection (UGTGI) and 26 had LEVI >0.2 and underwent UGTI. The injection set (containing human thrombin and fibrinogen) was used for UGTGI. Bovine thrombin was used for UGTI. Results The success rate was 100% and no psA recurrence was detected during 2-week follow-up. It was significantly better when compared to the expected recurrence rates based on our previous 15 years of experience (0% vs. 13%, p=0.02). All complications were mild and transient and included clinical symptoms of paraesthesia, numbness, tingling, or pain. Their rates were comparable to the rates we previously reported. No significant differences in other characteristics were observed. Conclusion The approach to choose the first-line treatment method for iatrogenic psA based on LEVI is encouraging. Two examples of LEVI calculations Funding Acknowledgement Type of funding source: None

Contained rupture of a celiac artery aneurysm treated with aortic endograft deployment and assisting percutaneous coil and thrombin infusion

Vascular ◽  
2013 ◽  
Vol 21 (3) ◽  
pp. 183-188 ◽  
Author(s):  
John C Papakostas ◽  
Emmanouil Theodoropoulos ◽  
George Karydas ◽  
Petros K Chatzigakis
Keyword(s):  
Abdominal Aorta ◽  
Initial Treatment ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Ultrasound Guided ◽  
Second Stage ◽  
Celiac Artery Aneurysm ◽  
Upper Abdominal

In this report we present a case of a ruptured celiac artery aneurysm (CAA) with a thrombosed distal neck, which was treated as an emergently with a deployment of a tube thoracic endograft to the descending thoracic and upper abdominal aorta. The initial treatment was assisted with a second stage percutaneous, transhepatic, ultrasound guided needle infusion of coil and thrombin to the aneurysmal sac due to type Ib endoleak, with immediate thrombosis of the aneurysm. This technique, although not standard, could also be considered as a useful choice for the treatment of CAAs with wide proximal and patent distal neck.

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