Document Detail


Treatment of secondary stent-graft collapse after endovascular stent-grafting for iliac artery pseudoaneurysms.
MedLine Citation:
PMID:  17122888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a patient who developed an asymptomatic pseudoaneurysm in the left external iliac artery after transplant nephrectomy. The pseudoaneurysm most probably arose as a suture aneurysm from the external iliac artery after removal of the graft renal artery. Obviously we can not exclude the possibility it was a true aneurysm, although this seems much less likely. The pseudoaneurysm was detected during a routine CT scan and was treated interventionally with a stent-graft. One month later the asymptomatic patient underwent a vascular ultrasound examination including color Doppler, power Doppler, and B-flow as a routine control. An endoleak with collapse of the stent-graft was diagnosed. There was no evidence of stent infection. At a reintervention, the pseudoaneurysm was successfully treated using two uncovered Palmaz stents at the proximal and distal edge of the stent graft. Peri- and post-interventional ultrasound and CT angiography confirmed the exclusion of the aneurysm without an endoleak.
Authors:
D-A Clevert; M Stickel; H-O Steitz; R Kopp; T Strautz; P Flach; T Johnson; E M Jung; K W Jauch; M Reiser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2006-12-04     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  111-5     Citation Subset:  IM    
Affiliation:
Institute of Clinical Radiology, University of Munich - Grosshadern Campus, Marchioninistrasse 15, Munich, Germany. clevert@web.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / diagnosis,  surgery*
Female
Humans
Iliac Artery / radiography,  surgery*,  ultrasonography
Postoperative Complications / diagnosis,  surgery*
Prosthesis Failure*
Stents / adverse effects*
Tomography, X-Ray Computed / methods
Ultrasonography, Doppler / methods

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


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