Document Detail


Endovascular treatment of a carotid dissecting pseudoaneurysm in a patient with Ehlers-Danlos syndrome type IV with fatal outcome.
MedLine Citation:
PMID:  17687602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a patient with Ehlers-Danlos syndrome type IV (EDS IV) with a carotid dissecting pseudoaneurysm causing severe carotid stenosis. This lesion was treated endovascularly. Unfortunately, the patient died of remote vascular catastrophes (intracranial hemorrhage and abdominal aortic rupture). This unique case illustrates the perils of endovascular treatment of EDS IV patients and the need for preoperative screening for concomitant lesions. It also shows that a dissecting pseudoaneurysm can feasibly be treated with a covered stent and that closure is effective using Angioseal in patients with EDS IV.
Authors:
Siok Ping Lim; Martin J Duddy
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-08-09
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-01-10     Completed Date:  2008-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  201-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, Selly Oak Hospital, University Hospital, Birmingham NHS Foundation Trust, Raddlebarn Road, Birmingham, West Midlands B29 6JD, UK. siokpinglim@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Dissecting / complications,  diagnosis,  surgery*
Anticoagulants / administration & dosage
Aorta, Abdominal
Aortic Rupture / complications
Carotid Arteries / radiography
Carotid Artery Injuries / complications,  diagnosis,  surgery*
Carotid Stenosis / diagnosis,  etiology,  surgery
Ehlers-Danlos Syndrome / complications*
Fatal Outcome
Female
Heparin / administration & dosage
Humans
Intracranial Hemorrhages / complications
Platelet Aggregation Inhibitors / administration & dosage
Postoperative Complications
Severity of Illness Index
Stents*
Ticlopidine / administration & dosage,  analogs & derivatives
Tomography, X-Ray Computed
Vascular Surgical Procedures / adverse effects*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors; 55142-85-3/Ticlopidine; 9005-49-6/Heparin; 90055-48-4/clopidogrel

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


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