Article Sidebar
Views PDF: 171
To evaluate the effectiveness of endovascular intervention for treatment of traumatic visceral pseudoaneurysms
Main Article Content
Abstract
SUMMARY
Background: Visceral pseudoaneurysm was rare condition, itscomplication of bleeding led to severe clinical scenario, causing blood loss shock and death. Surgery was an invasive treatment and had high rate of morbidity and mortality; therefore, endovascular intervention has gradually becoming an alternative treatment nowadays. Objectives: To evaluate the safety and effectiveness of endovascular treatment in patients with traumatic visceral pseudoaneurysms.
Materials and Methods: All patients were diagnosed of traumatic visceral pseudoaneurysm and treated by endovascular intervention at Cho Ray Hospital from October 2017 to February 2019.
Results: Thirty (30) patients were enrolled in this study. Locations of pseudoaneurysm were as follows: hepatic arteries (22.2%), gastroduodenal arteries (5.6%), renal arteries (55.5%), splenic arteries (8.3%), superior mesenteric arteries (5.6%) and left gastric arteries (2.8%). The embolic agents included Histoacryl glue (NCBA) (6%), coils (82%), PVA particles + coils (6%) and gelfoam + coils (6%). 94.4% of pseudoaneurysms were completely embolized, and 90% of patients recovered of clinical status at
discharge. No severve complications were reported and the most common complication was hematoma (5%) at puncture site.
Conclusion: Endovascular treament is an effective and safe method in the management of traumatic visceral pseudoaneurysms.
Article Details
Keywords
traumatic visceral pseudoaneurysm, endovascular treatmen, safety, effectiveness
References
1. Chadha M., Ahuja C. (2009), “Visceral artery aneurysms: diagnosis and percutaneous management”,Semin Intervent Radiol, 26 (3),196-206.
2. Grotemeyer D., Duran M., Park E. J., et al. (2009), “Visceral artery aneurysms--follow-up of 23 patients with 31 aneurysms after surgical or interventional therapy”,Langenbecks Arch Surg, 394 (6), 1093-100.
3. Jana M., Gamanagatti S., Mukund A., et al. (2011), “Endovascular management in abdominal visceral arterial aneurysms: A pictorial essay”,World J Radiol, 3 (7), 182-7.
4. Jesinger R. A., Thoreson A. A., Lamba R. (2013), “Abdominal and pelvic aneurysms and pseudoaneurysms: imaging review with clinical, radiologic, and treatment correlation”,Radiographics, 33 (3), E71-96.
5. Keeling A. N., McGrath F. P., Lee M. J. (2009), “Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms”,Cardiovasc Intervent Radiol, 32 (1), 2-18.
6. Khattak Y. J., Alam T., Hamid Shoaib R., et al. (2014), “Endovascular embolisation of visceral artery pseudoaneurysms”,Radiol Res Pract, 2014, 258954.
7. Lu M., Weiss C., Fishman E. K., et al. (2015), “Review of visceral aneurysms and pseudoaneurysms”,J Comput Assist Tomogr, 39 (1), 1-6.
8. Madhusudhan K. S., Venkatesh H. A., Gamanagatti S., et al. (2016), “Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials”,Korean J Radiol, 17 (3), 351-63.
9. Won Y., Lee S. L., Kim Y., et al. (2015), “Clinical efficacy of transcatheter embolization of visceral artery pseudoaneurysms using N-butyl cyanoacrylate (NBCA)”,Diagn Interv Imaging, 96 (6), 563-9.
10. Yasumoto T., Osuga K., Yamamoto H., et al. (2013), “Long-term outcomes of coil packing for visceral aneurysms: correlation between packing density and incidence of coil compaction or recanalization”,J Vasc Interv Radiol, 24 (12), 1798-807.
11. Zhu Xiao-li, Ni Cai-fang, Liu Yi-zhi, et al. (2011), “Treatment strategies and indications for interventional management of pseudoaneurysms”,Chinese medical journal, 124 (12), 1784-1789.