Case report demonstrates rapid hemostasis of a hepatic artery pseudoaneurysm using thrombin and coils in an anticoagulated patient, highlighting an effective technique for recurrent hemobilia.
A case of recurrent haemobilia due to a pseudo-aneurysm of the right hepatic artery is presented. The patient required long-term anticoagulant therapy and, in order to achieve rapid haemostasis, thrombin was used as an adjunct to coil embolization. Rapid thrombosis of the pseudo-aneurysm occurred after selective injection of 200 units of thrombin, and thrombin-soaked coils were employed to occlude the arterial supply.
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Landy et al. (1995) studied this question.
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