Embolisation of a Left Gastric Artery Pseudoaneurysm by Transcatheter Thrombin Injection Guided by Fluoroscopy and Doppler Ultrasound
CKF Tan, MWC H’ng, JL O’Donnell, TH Cho, B Dennien
Hong Kong J Radiol 2014;17:41-4
DOI: 10.12809/hkjr1413166
We present a case with a left gastric artery pseudoaneurysm in a 51-year-old female confirmed on computed tomography and angiography. These aneurysms are rare but are prone to rupture leading to death. Although many are discovered incidentally, early definitive treatment is advocated to prevent subsequent rupture. Successful embolisation was achieved by transcatheter intra-arterial thrombin injection guided by fluoroscopic and Doppler ultrasound imaging. Our case demonstrates an alternative way of treating these entities by recourse to interventional radiology.
中文摘要
透視和多普勒超聲引導下經導管注射凝血酶進行胃左動脈假性動脈瘤栓塞術
CKF Tan, MWC H’ng, JL O’Donnell, TH Cho, B Dennien
本文報告一名51歲女性病例，經電腦斷層掃描和血管造影證實有胃左動脈假性動脈瘤。這些動脈瘤很罕見，但容易破裂而引致死亡。儘管許多病例為偶然發現，還是提倡盡早徹底治療以防止動脈瘤後期破裂。我們在透視和多普勒超聲引導下使用經導管注射凝血酶，替病人成功進行了胃左動脈假性動脈瘤栓塞術。該病例演示了依賴介入放射治療的這類病變的一種替代療法。