Document Detail


Percutaneous glue embolization of a visceral artery pseudoaneurysm in a case of sickle cell anemia.
MedLine Citation:
PMID:  16132392     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although aneurysmal complications of sickle cell anemia have been described in the intracranial circulation, visceral artery pseudoaneurysms in this disease entity have not previously been reported in the literature. Conventional treatment of visceral pseudoaneurysms has been surgical ligation or resection of the aneurysm. Transcatheter embolization has emerged as an attractive, minimally invasive alternative to surgery in the treatment of these lesions. In certain situations, however, due to the unfavorable angiographic anatomy precluding safe transcatheter embolization, direct percutaneous glue injection of the pseudoaneurysm sac may be considered to achieve successful occlusion of the sac. The procedure may be rendered safer by simultaneous balloon protection of the parent artery. We describe this novel treatment modality in a case of inferior pancreaticoduodenal artery pseudoaneurysm in a patient with sickle cell anemia. Although a complication in the form of glue reflux into the parent vessel occurred that necessitated surgery, this treatment modality may be used in very selected cases (where conventional endovascular embolization techniques are not applicable) after careful selection of the balloon diameter and appropriate concentration of the glue-lipiodol mixture.
Authors:
Gurpreet S Gulati; Manpreet S Gulati; Govind Makharia; Pradeep Hatimota; Nripen Saikia; Shashi B Paul; Subrat Acharya
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-05-26     Completed Date:  2006-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  665-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. em_gulati@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adhesives*
Adult
Anemia, Sickle Cell / complications*
Aneurysm, False / therapy*,  ultrasonography*
Humans
Male
Treatment Outcome
Ultrasonography, Doppler, Color
Viscera / blood supply*
Chemical
Reg. No./Substance:
0/Adhesives

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


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