Document Detail


Endovascular management of bleeding iliac artery pseudoaneurysms complicating radiation therapy for pelvic malignancies.
MedLine Citation:
PMID:  9456944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We evaluated arteriographic findings and endovascular treatments of eight patients who had bleeding iliac artery pseudoaneurysms and who had undergone radiation therapy (3000-6500 rad [30-65 Gy]) and surgery for pelvic malignancies. CONCLUSION: Angiography revealed contrast media extravasation in 75% of patients who had bleeding iliac artery pseudoaneurysms and failed to show the source of bleeding in 25%. The patients who had positive findings at angiography were all successfully treated percutaneously, although two patients required additional bypass surgery. Among embolic materials, coils and balloons were safe and efficient, whereas cyanoacrylate was unsafe and led to complications in two of three patients. A covered stent, which was not available for most of our patients, was used in one patient and may be an effective means of treating pseudoaneurysms.
Authors:
T de Baere; A Ousehal; V Kuoch; M Sapoval; C Lagrange; A Roche
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  170     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-02-26     Completed Date:  1998-02-26     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  349-53     Citation Subset:  AIM; IM    
Affiliation:
Department of Interventional Radiology, Gustave Roussy Institute, Villejuif, France.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology*,  radiography,  therapy*
Angiography
Embolization, Therapeutic*
Extravasation of Diagnostic and Therapeutic Materials
Female
Hemorrhage / etiology*,  radiography,  therapy*
Humans
Iliac Aneurysm / etiology*,  radiography,  therapy*
Male
Middle Aged
Pelvic Neoplasms / radiotherapy*
Radiation Injuries / radiography,  therapy*
Radiotherapy Dosage
Stents
Time Factors

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


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