Ultrasound and computed tomography-guided thrombin injection of a type 2 endoleak

Stephanie R. Wilson, Robert Atnip, Harjit Singh, Ryan H. Wilson, William A. Zang

Research output: Contribution to journalArticle

Abstract

Introduction. - Type II endoleaks are a well-documented complication of endovascular aortic aneurysm repair. This case demonstrates the successful combined use of duplex ultrasound to assist in the percutaneous treatment of type II endoleaks. Case report. - A 75 year-old man who had previously undergone endovascular aortic aneurysm repair was found to have a type II endoleak. As the result of failure of the transfemoral endovascular coil embolization to repair the leak, the patient underwent computed tomography- and ultrasound-guided thrombin injection of the aneurysm sac via a trans-lumbar approach. Duplex ultrasound proved useful in guiding the placement of the translumbar needle, in confirming the thrombosis of the endoleak, and in demonstrating continued patency of the endograft. Conclusion. - The two imaging modalities worked in a complementary fashion to guide needle placement and to enable real-time imaging of color-enhanced flow within the aneurysm sac.

Original languageEnglish (US)
Pages (from-to)23-25
Number of pages3
JournalJournal for Vascular Ultrasound
Volume33
Issue number1
StatePublished - Mar 2009

Fingerprint

Endoleak
Thrombin
Tomography
Injections
Aortic Aneurysm
Needles
Aneurysm
Thrombosis
Color

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Wilson, Stephanie R. ; Atnip, Robert ; Singh, Harjit ; Wilson, Ryan H. ; Zang, William A. / Ultrasound and computed tomography-guided thrombin injection of a type 2 endoleak. In: Journal for Vascular Ultrasound. 2009 ; Vol. 33, No. 1. pp. 23-25.
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Wilson, SR, Atnip, R, Singh, H, Wilson, RH & Zang, WA 2009, 'Ultrasound and computed tomography-guided thrombin injection of a type 2 endoleak', Journal for Vascular Ultrasound, vol. 33, no. 1, pp. 23-25.

Ultrasound and computed tomography-guided thrombin injection of a type 2 endoleak. / Wilson, Stephanie R.; Atnip, Robert; Singh, Harjit; Wilson, Ryan H.; Zang, William A.

In: Journal for Vascular Ultrasound, Vol. 33, No. 1, 03.2009, p. 23-25.

Research output: Contribution to journalArticle

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