Response to article on endoscopic ultrasound-guided thrombin injection, a management approach for visceral artery pseudoaneurysms

We read and analyzed an article published in your esteemed journal by Maharshi S et al. in volume 8, March 2020 [1]. First of all, we would like to congratulate the authors on their innovative paper and appreciate the high technical and clinical success they achieved with endoscopic ultrasound (EUS)-guided thrombin injection for management of visceral artery pseudoaneurysms (PAs). Visceral artery PAs are prone to rupture with life threatening intra-abdominal hemorrhage and high mortality rates. The authors have injected thrombin under EUS guidance, which though a very useful tool in experienced hands, is still an invasive procedure requiring sedation with its own implications and difficulties especially, in hemodynamically unstable patients.

Publication History

Article published online:
30 June 2020

• References

• 1 Maharshi S, Sharma SS, Sharma D. et al. Endoscopic ultrasound-guided thrombin a management approach for visceral artery pseudoaneurysms. Endosc Int Open 2020; 08: E407-E412
• 2 Gorsi U, Agarwal V, Yaser M. et al. Utility of percutaneous thrombin injection for treating visceral pseudoaneurysms. Minim Invasive Ther Allied Technol 2020; 1-7
• 3 Gorsi U, Chaluvashetty S, Kalra N. et al. Percutaneous glue embolization as a primary treatment for visceral pseudoaneurysms. Minim Invasive Ther Allied Technol 2019; 23: 1-7