Document Detail


Endovascular covered stenting for visceral artery pseudoaneurysm rupture: report of 2 cases and a summary of the disease process and treatment options.
MedLine Citation:
PMID:  18583306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present 2 cases of hemorrhage from a visceral artery pseudoaneurysm, managed successfully with endovascular covered stent placement. The first case was a 59-year-old man, 3 months after a laparoscopic distal pancreatectomy for adenoma, presenting with diffuse abdominal pain. The patient was evaluated with a computed tomography scan revealing a splenic artery pseudoaneurysm (PA) bleeding into a pancreatic pseudocyst. He was emergently taken to the angiography suite where a covered stent was deployed at the level of splenic artery PA. The second case was a 52-year-old woman with recurrent left retroperitoneal mass 5 years after distal pancreatectomy and splenectomy for a nonfunctional neuroendocrine tumor. She underwent resection of the mass in the left upper quadrant. Postoperative course was complicated by hematoma, abscess formation, reexploration, and repair of the duodenotomy and the portal vein. Subsequently, she was noted to have intermittent gastrointestinal hemorrhage, which prompted an angiogram revealing a hepatic artery PA that was repaired with a covered balloon-expandable stent. A completion angiogram was obtained in each case demonstrating exclusion of the PA. Our experience with these 2 cases supports the notion that endovascular covered stenting is a safe and effective therapy for exclusion of visceral artery aneurysm.
Authors:
Garri Pasklinsky; Antonios P Gasparis; Nicos Labropoulos; Jose Pagan; Apostolos K Tassiopoulos; John Ferretti; John J Ricotta
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-25
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  42     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2008 Dec-2009 Jan
Date Detail:
Created Date:  2008-12-19     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  601-6     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, New York 11794-8191, USA.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation / instrumentation*
Female
Hemorrhage / etiology*,  radiography,  surgery
Hepatic Artery / radiography,  surgery*
Humans
Male
Middle Aged
Prosthesis Design
Rupture
Splenic Artery / radiography,  surgery*
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Viscera / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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