Catheterization and Cardiovascular Interventions

Coronary Artery Disease

Percutaneous occlusion of posttraumatic aortic arch pseudoaneurysm by catheter-based delivery of thrombin

Corresponding Author

Christiane Buhr MD

[email protected]

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Department of Cardiology, West-German Heart Center, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, GermanySearch for more papers by this author

Holger Eggebrecht MD,

Holger Eggebrecht MD

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Search for more papers by this author

Raimund Erbel MD,

Raimund Erbel MD

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Search for more papers by this author

Christiane Buhr MD,

Corresponding Author

Christiane Buhr MD

[email protected]

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Department of Cardiology, West-German Heart Center, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, GermanySearch for more papers by this author

Holger Eggebrecht MD,

Holger Eggebrecht MD

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Search for more papers by this author

Raimund Erbel MD,

Raimund Erbel MD

Department of Cardiology, West German Heart Center, University of Duisburg-Essen, Essen, Germany

Search for more papers by this author

First published: 29 October 2007

https://doi.org/10.1002/ccd.21192

Share a link

Email
Wechat
Bluesky

Abstract

Purpose: To report a patient in whom a posttraumatic pseudoaneurysm of the aortic arch was successfully treated by catheter-based delivery of thrombin with balloon occlusion of the entry tear. Case Report: A 63-year-old male presented with pseudoaneurysm of the aortic arch after blunt chest trauma which was detected incidentally during routine chest X-ray. Using a percutaneous transfemoral approach, a 5 French Swan-Ganz catheter could be positioned into the aneurysm sac. Under balloon occlusion of the entry tear in order to prevent systemic embolization, 1,000 units of bovine thrombin were injected into the aneurysm sac resulting in complete occlusion of the aneurysm. Contrast-enhanced computed tomographic control showed complete thrombosis of the aneurysm over a follow-up period of 12 months. Conclusion: Percutaneous catheter-based delivery of thrombin is a feasible and effective minimally-invasive treatment alternative for patients with thoracic aortic pseudoaneurysms. © 2007 Wiley-Liss, Inc.

REFERENCES

1 Bennet DE,Cherry JK. The natural history of traumatic aneurysms of the aorta. Surgery 1967; 61: 516.
PubMed Web of Science® Google Scholar
2 Soyer R,Bessou JP,Bouchat F,Tabley A,Mouton Schleifer D,Arrignon J,Redonnet M. Acute traumatic isthmic aortic rupture: Long-term result in 49 patients. Eur J Cardiothorac Surg 1992; 6: 431–436.
10.1016/1010-7940(92)90068-9
CAS PubMed Web of Science® Google Scholar
3 Ruberti U,Arpesani A,Giorgetti PL,Cugnasca M,Rampoldi V,Selva S. Traumatic pathology of the thoracic aorta: Personal experience based on 42 cases. Panminnerva Med 1990; 32: 28–31.
CAS Web of Science® Google Scholar
4 Glock Y,Roux D,Soula P,Cerene A,Furnial. Traumatic rupture of the thoracic aorta. Rev Esp Cardiol 1996; 49( Suppl 4): 100–106
PubMed Google Scholar
5 Carroccio A,Spielvogel D,Ellozy SH,Lookstein RA,Chin IY,Minor ME,Sheahan CM,Teodorescu VJ,Griepp RB,Marin ML. Aortic arch and descending thoracic aortic aneurysms: Experience with stent grafting for second-stage “elephant trunk” repair. Vascular 2005; 13: 5–10.
10.2310/6670.2005.00034
PubMed Web of Science® Google Scholar
6 Jault F,Rama A,Cluzel P,Bonnet N,Varnous S,Pavie A,Leprince P,Gandjbakhch I. Pseudo-aneurysms of the ascending aorta in patients previously operated for acute aortic dissection. Arch Mal Coeur Vaiss 2005; 98: 20–24.
CAS PubMed Web of Science® Google Scholar
7 Geckeis K,Eggebrecht H,Schmermund A,Kuehl H,Niebel W,Omlor G,Erbel R. Percutaneous repair of abdominal aortic pseudoaneurysm by catheter-based delivery of thrombin. J Endovasc Ther 2006; 13: 264–268.
10.1583/05-1767R.1
PubMed Web of Science® Google Scholar
8 Lambrechts D,Casselman F,Schroeyers P,de Geest R,D'Haenens P,Degrieck I. Endovascular treatment of the descending thoracic aorta. Eur J Vasc Endovasc Surg 2003; 26: 437–444.
10.1016/S1078-5884(03)00150-3
CAS PubMed Web of Science® Google Scholar
9 Zamorano JL,Mayordomo J,Evangelista A,San Román JA,Bañuelos C,Gil Aguado M. Guías de Práctica Clínica de la Sociedad Española de Cardiología en enfermedades de la aorta. Rev Esp Cardiol 2000; 53: 531–541.
10.1016/S0300-8932(00)75124-4
PubMed Web of Science® Google Scholar
10 Kouchoukos NT,Dougenis D. Surgery of the thoracic aorta. N Engl J Med 1997; 336: 1876–1888.
10.1056/NEJM199706263362606
CAS PubMed Web of Science® Google Scholar
11 Svensson LG,Crawford ES. Statistical analyses of operative results. In: LG Svensson, ES Crawford, editors. Cardiovascular and Vascular Disease of the Aorta. Philadelphia: Saunders; 1997. pp 432–455.
Google Scholar
12 Johansson G,Markstrom U,Swedenborg J. Ruptured thoracic aortic aneurysm: A study incidence and mortality rates. J Vasc Surg 1995; 21: 985–988.
10.1016/S0741-5214(95)70227-X
CAS PubMed Web of Science® Google Scholar
13 Vázquez Muñiz CA,Delgado Osorio H. Acute dissection of the thoracic aorta: experience at the Puerto Rico Medical Center (1991 through 1995). Bol Asoc Med PR 1997; 89: 161–166.
Google Scholar
14 Coady MA,Rizzo JA,Hammond GL,Mandapati D,Darr U, et al. What is the appropriate size criterion for resection of thoracic aneurysms? J Thorac Cardiovasc Surg 1997; 113: 476–491.
10.1016/S0022-5223(97)70360-X
CAS PubMed Web of Science® Google Scholar
15 Coselli JS,Buket S,Djukanovic B. Aortic arch operation: current treatment and results. Ann Thorac Surg 1995; 59: 19–26.
10.1016/0003-4975(94)00812-L
CAS PubMed Web of Science® Google Scholar
16 Jault F,Natal P,Rama A,Fontanel M,Vaissier E, et al. Chronic disease of the ascending aorta surgical treatment and long-term results. J Thorac Cardiovasc Surg 1994; 108: 747–754.
CAS PubMed Web of Science® Google Scholar
17 Lachat M,Pfammatter T,Bernard E,Jaggy C,Vogt P,Turina M. Successful endovascular repair of a leaking abdominal aortic aneurysm under local anesthesia. Swiss Surg 2001; 7: 86–89.
10.1024/1023-9332.7.2.86
CAS PubMed Google Scholar
18 Leotta L,Merlo M,Bitossi G,Violato F,Ponzio F, et al. Mid-term results of endovascular repair for abdominal aortic aneurysm, with loco-regional anesthesia, in high risk patients. Minerva Cardioangiol 2001; 49: 23–29.
CAS PubMed Google Scholar
19 Chapot R,Aymard A,Saint-Maurice JP,Bel A,Marland JJ,Houdart E. Coil embolization of an aortic arch false aneurysm. J Endovasc Ther 2002; 9: 922–925.
10.1177/152660280200900630
PubMed Web of Science® Google Scholar
20 Gorge G,Kunz T. Thrombin injection for treatment of false aneurysms after failed compression therapy in patients on full-dose antiplatelet and heparin therapy. Catheter Cardiovasc Interv 2003; 58: 505–509.
10.1002/ccd.10471
CAS PubMed Web of Science® Google Scholar
21 Lin PH,Bush RL,Tong FC,Chaikof E,Martin LG,Lumsden AB. Intra-arterial thrombin injection of an ascending aortic pseudoaneurysm complicated by transient ischemic attack and rescued with systemic abciximab. J Vasc Surg 2001; 34: 939–942.
10.1067/mva.2001.116968
CAS PubMed Web of Science® Google Scholar

Volume70, Issue5

1 November 2007

Pages 713-717

SCAI Member Sign in

Percutaneous occlusion of posttraumatic aortic arch pseudoaneurysm by catheter-based delivery of thrombin

Abstract

REFERENCES

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Percutaneous occlusion of posttraumatic aortic arch pseudoaneurysm by catheter-based delivery of thrombin

Abstract

REFERENCES

References

Related

Information