Percutaneous thrombin injection in an infant to treat hepatic artery pseudoaneurysm after failed embolization.

Abstract

Percutaneous thrombin injection has been described in case reports as an alternative to surgical intervention for the treatment of hepatic artery pseudoaneurysms associated with high-grade liver lacerations in adults. However, there is limited description in the literature of this technique being applied in children, particularly in preadolescents, and no published literature describes its use in infants. The procedure can be performed by pediatric radiologists and pediatric interventional radiologists skilled in ultrasound-guided aspiration techniques. We report successful application of percutaneous thrombin injection in an infant to treat a pseudoaneurysm of a left hepatic arterial branch in an 11-month-old girl with a grade IV liver laceration after superselective transcatheter arterial embolization failed to achieve thrombosis.

• Authors: Jonathan M Lorenz, Darren van Beek, Thuong G Van Ha, Jessica Lai, Brian Funaki
• Journal: Pediatric radiology (Pediatr Radiol) Vol. 43 Issue 11 Pg. 1532-5 (Nov 2013) ISSN: 1432-1998 [Electronic] Germany
• PMID: 23660876 (Publication Type: Case Reports, Journal Article)

Chemical References

• Hemostatics
• Thrombin

Topics

• Abdominal Injuries (complications, diagnosis)
• Aneurysm, False (diagnostic imaging, drug therapy)
• Embolization, Therapeutic
• Female
• Hemostatics (administration & dosage)
• Hepatic Artery (drug effects)
• Humans
• Infant
• Injections, Subcutaneous
• Radiography
• Thrombin (administration & dosage)
• Treatment Failure
• Treatment Outcome
• Wounds, Nonpenetrating (complications, diagnosis)