Document Detail


Ischemic skin ulceration complicating glue embolization of type II endoleak after endovascular aneurysm repair.
MedLine Citation:
PMID:  21276913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The optimal treatment for type II endoleaks remains unclear. The present report describes a case of ischemic skin ulceration after glue embolization of a type II endoleak with challenging access in a multiply comorbid 82-year-old woman with an expanding aneurysm sac 3 years after endovascular aneurysm repair. Embolization was performed from a proximal position with an n-butyl cyanoacrylate/Ethiodol mixture to allow flow into the endoleak because direct sac puncture was hazardous. One week after intervention, an eschar, which progressed to superficial necrosis as a result of partial nontarget delivery of sclerosant, developed over the left iliac crest. The eschar was self-limiting, with complete resolution by 6 months.
Authors:
Marc A Bailey; Simon J McPherson; Max A Troxler; A Howard S Peach; Jai V Patel; D Julian A Scott
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  22     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-05-17     Revised Date:  2011-10-27    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
Leeds Vascular Institute, The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, UK. marc.bailey@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Embolization, Therapeutic / adverse effects*
Enbucrilate / adverse effects*,  therapeutic use*
Endoleak / complications,  surgery*
Endovascular Procedures
Female
Hemostatics / adverse effects,  therapeutic use
Humans
Ischemia / chemically induced*,  radiography
Skin / blood supply*,  drug effects,  radiography
Skin Ulcer / chemically induced*,  radiography
Tissue Adhesives / adverse effects,  therapeutic use
Chemical
Reg. No./Substance:
0/Hemostatics; 0/Tissue Adhesives; 6606-65-1/Enbucrilate
Comments/Corrections
Comment In:
J Vasc Interv Radiol. 2011 Jul;22(7):1057; author reply 1057-8   [PMID:  21708329 ]
J Vasc Interv Radiol. 2011 Jul;22(7):1055-7   [PMID:  21708328 ]

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


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