Article Sidebar

PDF
Date Published: 30/12/2022
Online Published: 30/11/2022
Abstract Views: 162
Views PDF: 69
DOI: https://doi.org/10.55046/vjrnm.49.774.2022
Issue
No. 49 (2022)
Section
Scientific research
How to Cite
Nguyen, V. T., Pham, M. T., Tran, V. L., Le, V. K., Trinh, H. C., Nguyen, T. T. N., & Vu, D. L. (2022). THE EFFICACY OF EMBOLIZATION IN THE TREATMENT OF NON-TRAUMATIC VISCERAL ARTERIAL PSEUDOANEURYSM. Vietnamese Journal of Radiology and Nuclear Medicine, 49, 4-10. https://doi.org/10.55046/vjrnm.49.774.2022

THE EFFICACY OF EMBOLIZATION IN THE TREATMENT OF NON-TRAUMATIC VISCERAL ARTERIAL PSEUDOANEURYSM

Nguyen Van Tuan1, Professor Pham Minh Thong1, Tran Van Luong2, Le Van Khang2, Trinh Ha Chau2, Nguyen Thi To Ngan2, Dr Vu Dang Luu1
1 Hanoi Medical University
2 Bach Mai Hospital

Main Article Content

Abstract

Objective: to apply and estimate the efficacy of embolization in non traumatic visceral arterial pseudoaneurysm.


Subject and method: Twenty-seven patients underwent angiography and embolization at Bachmai hospital from 7/2020 to 7/2022.


Result: In 27 patients (20 males & 07 females), 09 patients show extravasation in DSA. The splenic artery and the superior mesenteric artery are the arteries most commonly with visceral arterial pseudoaneurysms. Of the 27 patients studied, 24 had technical success in the first intervention, one required secondary intervention because of rebleeding and it was successfully treated by reintervention, one required ileectomy after embolisation due to ongoing hemorrhage, one patient died from uncontrolled blood transfusion shock.


Conclusion: In hemodynamically stable and controlled patients, selective and super selective embolization is a safe and effective method for managing non traumatic visceral arterial pseudoaneurysm.

Article Details

Keywords

visceral arterial pseudoaneurysm, embolization, extravasation

References

1. Endovascular Embolization of Visceral Artery Pseudoaneurysms Using Modified Injection Technique with N-Butyl Cyanoacrylate Glue - PubMed. Accessed June 10, 2021. https://pubmed.ncbi.nlm.nih.gov/26296736/
2. Venturini M, Marra P, Colombo M, et al. Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms in 100 Patients: Covered Stenting vs Transcatheter Embolization. J Endovasc Ther. 2017;24(5):709-717. doi:10.1177/1526602817717715
3. Madhusudhan KS, Venkatesh HA, Gamanagatti S, Garg P, Srivastava DN. Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials. Korean J Radiol. 2016;17(3):351. doi:10.3348/kjr.2016.17.3.351
4. Uberoi R, Chung D. Endovascular solutions for the management of visceral aneurysms. J Cardiovasc Surg (Torino). 2011;52(3):323-331. 1. Belli AM, Markose G, Morgan R. The Role of Interventional Radiology in the Management of Abdominal Visceral Artery Aneurysms. Cardiovasc Intervent Radiol. 2012;35(2):234-243. doi:10.1007/s00270-011-0201-3 6.
5. Duan XH, Ren JZ, Zhou GF, et al. Clinical Features and Endovascular Treatment of Visceral Artery Pseudoaneurysms. Annals of Vascular Surgery. 2015;29(3):482-490. doi:10.1016/j.avsg.2014.11.008
6. Kalva SP, Yeddula K, Wicky S, Fernandez del Castillo C, Warshaw AL. Angiographic Intervention in Patients With a Suspected Visceral Artery Pseudoaneurysm Complicating Pancreatitis and Pancreatic Surgery. Arch Surg. 2011;146(6):647. doi:10.1001/archsurg.2011.11
7. Zabicki B, Limphaibool N, Holstad MJV, Juszkat R. Endovascular management of pancreatitis-related pseudoaneurysms: A review of techniques. Kirchmair R, ed. PLoS ONE. 2018;13(1):e0191998. doi:10.1371/journal.pone.0191998
8. Song HH, Won YD, Kim YJ. Transcatheter N-butyl cyanoacrylate embolization of pseudoaneurysms. J Vasc Interv Radiol. 2010;21(10):1508-1511. doi:10.1016/j.jvir.2010.05.022
9. Won Y, Lee SL, Kim Y, Ku YM. Clinical efficacy of transcatheter embolization of visceral artery pseudoaneurysms using N-butyl cyanoacrylate (NBCA). Diagnostic and Interventional Imaging. 2015;96(6):563-569. doi:10.1016/j.diii.2015.01.003
10. Ikeda O, Nakasone Y, Tamura Y, Yamashita Y. Endovascular Management of Visceral Artery Pseudoaneurysms: Transcatheter Coil Embolization Using the Isolation Technique. Cardiovasc Intervent Radiol. 2010;33(6):1128-1134. doi:10.1007/s00270-010-9973-0
11. Hemingway, A. P., & Allison, D. J. (1988). Complications of embolization: analysis of 410 procedures. Radiology, 166(3), 669-672. doi:10.1148/radiology.166.3.3340761