Management of distal aneurysm of the superior mesenteric artery by percutaneous ultrasound-guided Onyx injection: A case report
| Autor: | Davide Mastrorilli, Luca Mezzetto, Gastone Bergamaschi, Lorenzo Scorsone, Gian Franco Veraldi, Fabio Simoncini, Alessandro Angrisano |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry 05 social sciences General Medicine 030204 cardiovascular system & hematology medicine.disease Ultrasound guided 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery 0502 economics and business medicine 050211 marketing Radiology Nuclear Medicine and imaging Surgery Superior mesenteric artery Radiology Doppler Ultrasound Imaging Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular. 29:404-407 |
| ISSN: | 1708-539X 1708-5381 |
| DOI: | 10.1177/1708538120962880 |
| Popis: | Objectives The aim of this article is to report an alternative approach for the management of a distal aneurysm of superior mesenteric artery using direct percutaneous ultrasound-guided Onyx injection. Methods We report a rare case of symptomatic superior mesenteric artery aneurysm. A 78-year-old man presents with pain and pulsating mass in the right umbilical region of the abdomen. The patient was treated by percutaneous ultrasound-guided Onyx injection after several failing transarterial embolization attempts. Results The procedure was successful without any complication, and the patient wasdischarged to home the day after procedure. Follow-up at 60 months confirmed the complete thrombosis of the aneurysm sac. Ultrasound-guided Onyx injection for distal superior mesenteric artery aneurysm could provide an alternative to transcatheter arterial embolization or open surgery. Anatomical assessment of collaterals and knowledge of abdomen anatomy could play important roles in preventing bowel ischemia and minimizing the risk of procedural complication. Conclusion Ultrasound-guided Onyx injection of superior mesenteric artery aneurysm is a feasible, effective, and cost-saving technique that can be used when endovascular approach is not possible or has failed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|