Document Detail


Lumbar artery pseudoaneurysm following renal biopsy: treatment with ultrasound-guided thrombin injection.
MedLine Citation:
PMID:  12060164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
latrogenic pseudoaneurysms are usually seen following arterial catheterization. However, we describe a case of a 23-year-old woman who developed a pseudoaneurysm of a lumbar artery following renal biopsy. In view of her progressing renal failure, arterial embolization was felt to be inappropriate, and although the pseudoaneurysm could be seen ultrasonically, guided compression could not be applied because of the location of the aneurysm deep to the lumbar musculature. Hence, the pseudoaneurysm was thrombosed by percutaneous ultrasound-guided injection of thrombin directly into the pseudoaneurysm sac. This resulted in immediate thrombosis of the aneurysm and no recurrence on follow-up imaging. Thrombin injection for femoral artery pseudoaneurysms following catheterization is becoming more widely accepted, and our case demonstrates that this technique might be applied to pseudoaneurysms elsewhere in the body.
Authors:
Duncan W Ramsay; Martin Marshall
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Australasian radiology     Volume:  46     ISSN:  0004-8461     ISO Abbreviation:  Australas Radiol     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-12     Completed Date:  2002-08-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0047441     Medline TA:  Australas Radiol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  201-3     Citation Subset:  IM    
Affiliation:
Department of Diagnostic and Interventional Radiology, The Royal Perth Hospital, Perth, Western Australia, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / etiology,  radiography,  therapy*,  ultrasonography
Biopsy, Needle / adverse effects*
Hemostatics / therapeutic use*
Humans
Kidney / pathology*
Lumbosacral Region
Male
Thrombin / therapeutic use*
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Interventional
Chemical
Reg. No./Substance:
0/Hemostatics; EC 3.4.21.5/Thrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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