Document Detail

Use of FloSeal in the endovascular treatment of voluminous aneurysm of a lower gluteus artery.
MedLine Citation:
PMID:  20212423     Owner:  NLM     Status:  MEDLINE    
We suggest an alternative endovascular treatment for gluteal artery aneurysm using Floseal a matrix of bovine gel and thrombin component. A 70-year-old woman, presented with claudicatio of the lower left limb after 150 m walking and pain at the sciatic nerve irradiation. A pulsating and painful mass was present in the lower gluteal region. No history for previous trauma, nor for orthopedic surgery. The suspect of aneurysm of the left gluteal artery was confirmed by Color Doppler Ultrasound and by computed tomography (CT) showing a fusiform aneurysm in the lower gluteus artery. In order to rule out infective cause, blood coltures were taken. Compression of the sciatic nerve was confirmed by electromyography study. Patient was treated by endovascular treatment. We performed angiography, with a selective study of the lower left gluteus artery, and embolization of the aneurysm by an injection of FloSeal (hemostatic) and fibered platinum coil. At the discharge, we observed absence of pulsation in gluteus region and the complete resolution of clinical symptom. The Color Doppler Ultrasound scan showed a complete occlusion of the aneurysm. This case appears quite peculiar, for the absence of any pelvic trauma, orthopedic operations or previous penetrating lesions, responsible of vascular lesions as reported in literature. The large aneurysm dimensions made the embolization procedure quite difficult, and brought us to use FloSeal. The treatment we proposed may be useful in the treatment of peripheral aneurysms of great dimension, and may be an alternative to the more traditional ones.
F Benedetto; G Passari; F Stilo; M La Spada; A Cotroneo; S Lentini; F Spinelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva chirurgica     Volume:  65     ISSN:  0026-4733     ISO Abbreviation:  Minerva Chir     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400726     Medline TA:  Minerva Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  117-21     Citation Subset:  IM    
Vascular Surgery Unit, Institut of Cardiovascular and Thoracic Surgery, Policlinic Hospital G. Martino, University of Messina, Messina, Italy.
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MeSH Terms
Aneurysm / pathology,  therapy*
Buttocks / blood supply
Gelatin Sponge, Absorbable / therapeutic use*
Reg. No./Substance:
0/FloSeal Matrix

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