| Uncommon incidental pseudoaneurysm. Diagnostic and management challenges. | |
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MedLine Citation:
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PMID: 19668884 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyze patients with uncommon incidental pseudoaneurysms, secondary to non-catheterization causes, and to discuss the peculiar clinical spectrum, and focus on some aspects of difference from post-catheterization pseudoaneurysms. METHODS: Eleven patients, 8 males and 3 females, were studied retrospectively in Jordan University Hospital, Amman, Jordan, between 2002-2008. Radiological studies performed included duplex sonography (DS), computed tomography (CT), conventional angiography, magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA). RESULTS: Pseudoaneurysms were most commonly encountered in young males (63.6%), especially in the lower limb vessels (36%). Clinical findings were suggestive of pseudoaneurysms in 27% of our cases. Four out of the 8 DS scans showed the neck of pseudoaneurysms, and the to and fro waveform, the strongest indicators for pseudoaneurysms. Both CT with intravenous contrast and angiography failed to establish the diagnosis in one out of 5 cases. The MRI with MRA showed the pseudoaneurysms in 2 patients that underwent the scan. CONCLUSION: Incidental pseudoaneurysms are considered following iatrogenic procedures, penetrating, or blunt traumas with variable delay time. Young healthy males are at increased risks, as opposed to elderly females with calcified vessels in post-catheterization cases. Duplex sonography is less sensitive in incidental than post-catheterization pseudoaneurysms. The CT scan with intravenous contrast has high accuracy in establishing the diagnosis in small, or medium sized pseudoaneurysms. The MRI and MRA are accurate valuable studies and comparable to conventional angiography. |
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Authors:
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Azmy M Hadidy; Osama A Samara; Heba S Takrouri; Nosaiba T Al-Ryalat; Moaath M Al-Smady; Soukaina T Ryalat; Mahmoad M Abu-Khalaf |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Saudi medical journal Volume: 30 ISSN: 0379-5284 ISO Abbreviation: Saudi Med J Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-11 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7909441 Medline TA: Saudi Med J Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 1037-43 Citation Subset: IM |
Affiliation:
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Department of Diagnostic Radiology, Jordan University Hospital, University of Jordan, Amman, Jordan. amshadidy@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aneurysm, False / diagnosis*, therapy* Female Humans Leg / blood supply Magnetic Resonance Angiography Magnetic Resonance Imaging Male Middle Aged Retrospective Studies Tibial Arteries / radiography Ultrasonography, Doppler, Duplex Young Adult |
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