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  • Title: A ruptured aneurysm after stent graft puncture during computed tomography-guided thrombin injection.
    Author: Tolenaar JL, van Keulen JW, Leijdekkers VJ, Vonken EJ, Moll FL, van Herwaarden JA.
    Journal: J Vasc Surg; 2010 Oct; 52(4):1045-7. PubMed ID: 20619591.
    Abstract:
    Type II endoleaks occur in 5% to 10% of patients who are treated by endovascular aneurysm repair. A persistent type II endoleak combined with documented aneurysm expansion is generally considered an indication for intervention. Thrombin injection directly into the aneurysm sac is described as a safe and efficient treatment option. We present a patient with a ruptured aneurysm caused by a puncture of the stent graft during computed tomography-guided thrombin injection. This case highlights a possible harmful complication of thrombin injection and emphasizes the need for caution while performing such a procedure.
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