Thrombin Injection for the Treatment of Mycotic Gluteal Aneurysm

Rubinstein, Chen; Endean, Eric D.; Minion, David J.; Sorial, Ehab; O'Keeffe, Shane; Xenos, Eleftherios S.

doi:10.1177/1538574411419375

Cited by 6 publications

(12 citation statements)

References 9 publications

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“…True aneurysms are rare with only twenty-one previously reported cases [ 1 ]. The commonest true SGA aneurysms are of mycotic origin secondary to intravenous drug abuse [ 3 ] or infective endocarditis [ 4 , 5 ]. True atherosclerotic SGA aneurysms have been described, some from histological examination of resected tissue [ 4 ] and others from clinical and morphological features of the aneurysm [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therapeutic endovascular methods include coil embolization, thrombin injection and stent-graft placement. Care has to be taken to identify and embolize all afferent and efferent vessels of the aneurysm if possible, to avoid retrograde flow from collateral arteries [ 3 ] during coil embolization. Literatures have reported few cases of coil dislodgement and migration [ 20 ], particularly if smaller coils are used.…”

Section: Discussionmentioning

confidence: 99%

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True superior gluteal artery aneurysm with neurovascular compromise of the lower limb: a case report and review of the therapeutic options

Oyebanji¹,

Inuwa²,

Ahmad³

2018

Pan Afr Med J

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Few cases of true superior gluteal artery (SGA) aneurysms have been described in the English-language literature. This is the twenty-second reported case. SGA aneurysms can pose diagnostic problems, specifically when they are non-pulsatile and also therapeutic challenges when they are large. Although more aneurysms are being subjected to endovascular therapies, SGA aneurysmectomy or aneurysmorrhaphy still remain valid therapeutic options, especially in resource-poor settings. Surgery provides quick symptom resolution and still is the only means by which tissue for definitive histological diagnosis can be obtained.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

True superior gluteal artery aneurysm with neurovascular compromise of the lower limb: a case report and review of the therapeutic options

Oyebanji¹,

Inuwa²,

Ahmad³

2018

Pan Afr Med J

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“…The majority are pseudoaneurysms complicating trauma, either blunt or penetrating injuries. [ 4 5 6 ] Other reported causes include iatrogenic (9 cases); caused by pelvic surgeries and interventional procedures like bone marrow biopsy, mycotic (6 cases), connective tissue disorders, vasculitis, and atherosclerosis (5 cases). [ 2 4 5 6 7 8 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is effective in treating the aneurysm and removing thrombus to decrease pressure symptoms; but it has a number of drawbacks; it is difficult and more invasive than endovascular treatment with a risk of iatrogenic injuries and infection. [ 3 6 ]…”

Section: Discussionmentioning

confidence: 99%

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Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case Report and Review of Literature

Taif

Derweesh

Talib

2013

Journal of Clinical Imaging Science

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Aneurysms of the gluteal arteries are very rare with the majority being post-trauma pseudoaneurysms. Generally, management of these aneurysms could be surgical or through endovascular techniques. We present a case of a superior gluteal artery pseudoaneurysm complicating a pelvic fracture that presented as a gluteal mass. It was successfully treated by transcatheter coil embolization. We review the presentation, imaging, and treatment options. Aneurysms have to be considered in the differential diagnosis of soft tissue masses, therefore lesion intervention by aspiration or needle biopsy should not be tried before ruling out a possible vascular nature which will easily be revealed by ultrasound Doppler or computed tomography scans.

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Percutaneous thrombin injection treatment of a gluteal pseudoaneurysm following radiofrequency ablation of a hip osteoid osteoma in a 6-year-old boy

Kumar

Ramchand²,

Contractor³

2014

Skeletal Radiol

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Osteoid osteomas are benign bone lesions that present with bone pain in children and young adults. Over the last 2 decades, radiofrequency ablation has become the mainstay of treatment and is now preferred over surgical resection. Major complications of the procedure are very rare, consisting mostly of local skin burns. We present a case of a child presenting with a gluteal pseudoaneursym following CT-guided radiofrequency ablation of an acetabular osteoid osteoma, which was then treated successfully with percutaneous thrombin injection.

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Thrombin Injection for the Treatment of Mycotic Gluteal Aneurysm

Cited by 6 publications

References 9 publications

True superior gluteal artery aneurysm with neurovascular compromise of the lower limb: a case report and review of the therapeutic options

True superior gluteal artery aneurysm with neurovascular compromise of the lower limb: a case report and review of the therapeutic options

Superior Gluteal Artery Pseudoaneurysm Presenting as a Gluteal Mass: Case Report and Review of Literature

Percutaneous thrombin injection treatment of a gluteal pseudoaneurysm following radiofrequency ablation of a hip osteoid osteoma in a 6-year-old boy

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