Percutaneous embolization of post traumatic splenic pseudoaneurysm

Management of splenic pseudoaneurysms in hemodynamically stable patients has shifted toward nonoperative management, including watchful waiting and endovascular embolization. Standard of treatment does not include percutaneous embolization for splenic pseudoaneurysm repair. In this case report, we d...

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Bibliographic Details
Published in:Emergency radiology 2018-12, Vol.25 (6), p.719-722
Main Authors: Foo, Eric T., Kumar, Vishal, Nanavati, Sujal M., Huo, Eugene, Wilson, Mark W., Conrad, Miles B.
Format: Article
Language:English
Subjects:
Accidents, Traffic
Aneurysm, False - diagnostic imaging
Aneurysm, False - therapy
Aneurysms
Angiography
Case Report
Embolization
Embolization, Therapeutic - methods
Emergency Medicine
Humans
Imaging
Lesions
Male
Medicine
Medicine & Public Health
Middle Aged
Motorcycles
Patients
Radiology
Repair
Spleen - diagnostic imaging
Spleen - injuries
Thrombin
Tomography, X-Ray Computed
Wounds, Nonpenetrating - diagnostic imaging
Wounds, Nonpenetrating - therapy
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Summary:Management of splenic pseudoaneurysms in hemodynamically stable patients has shifted toward nonoperative management, including watchful waiting and endovascular embolization. Standard of treatment does not include percutaneous embolization for splenic pseudoaneurysm repair. In this case report, we document a successful percutaneous embolization of a post traumatic splenic pseudoaneurysm with thrombin. Percutaneous embolization of splenic pseudoaneurysms can be considered a viable technique in patients who fail endovascular embolization or have lesions inaccessible to endovascular repair.
ISSN:1070-3004
1438-1435
DOI:10.1007/s10140-018-1636-5