Document Detail

Recanalization of splenic artery aneurysm after transcatheter arterial embolization using N-butyl cyanoacrylate.
MedLine Citation:
PMID:  19588193     Owner:  NLM     Status:  MEDLINE    
A 65-year-old woman who had been diagnosed as having microscopic polyangiitis developed sudden abdominal pain and entered a state of shock. Abdominal CT showed massive hemoperitoneum, and emergent angiography revealed a ruptured splenic artery aneurysm. After direct catheterization attempts failed due to tortuous vessels and angiospasm, transcatheter arterial embolization using an n-butyl cyanoacrylate (NBCA)-lipiodol mixture was successfully performed. Fifty days later, the patient developed sudden abdominal pain again. Repeated angiography demonstrated recanalization of the splenic artery and splenic artery aneurysm. This time, the recanalized aneurysm was embolized using metallic coils with the isolation method. Physicians should keep in mind that recanalization can occur after transcatheter arterial embolization using N-butyl cyanoacrylate, which has been used as a permanent embolic agent.
Keiji Matsumoto; Yasuhiro Ushijima; Tsuyoshi Tajima; Akihiro Nishie; Masakazu Hirakawa; Kousei Ishigami; Yukiko Yamaji; Hiroshi Honda
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-09
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  33     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-05     Completed Date:  2010-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  187-90     Citation Subset:  IM    
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.
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MeSH Terms
Aneurysm, Ruptured / etiology,  radiography,  therapy*
Embolization, Therapeutic / methods*
Enbucrilate / therapeutic use*
Splenic Artery* / radiography
Tissue Adhesives / therapeutic use*
Vasculitis / complications
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate

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

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