Successful endovascular treatment of a ruptured gigantic pseudoaneurysm of the common iliac artery secondarily complicated by infection
| Autor: | Efstratios Georgakarakos, Evagelos S. Nikolopoulos, Michael A Karanikas, Michalis Mantatzis, Miltos K. Lazarides |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Prosthesis-Related Infections medicine.medical_treatment Right Common Iliac Artery Aneurysm Ruptured Iliac Artery Blood Vessel Prosthesis Implantation Pseudoaneurysm medicine.artery Catheter drainage medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Endovascular treatment Aged Intravenous contrast business.industry Endovascular Procedures Stent General Medicine medicine.disease Common iliac artery Anti-Bacterial Agents Blood Vessel Prosthesis Surgery Treatment Outcome Iliac Aneurysm Shock (circulatory) cardiovascular system Drainage Stents Radiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aneurysm False |
| Zdroj: | Vascular. 21:189-191 |
| ISSN: | 1708-539X 1708-5381 |
| Popis: | We report our experience with a case of emergent endovascular treatment of a large ruptured pseudoaneurysm of the common iliac artery. A 65-year-old male was admitted to the surgical department in hypovolemic shock, due to active retroperitoneal bleeding. A computerized tomography scan with intravenous contrast revealed a ruptured gigantic pseudoaneurysm of the right common iliac artery, with a maximal diameter of 7 cm and retroperitoneal hematoma. An intraoperative angiogram revealed active extravasation through the neck of the pseudoaneurysm, which was successfully sealed with the placement of a stent graft (Medtronic Endurant®) limb component. Infection of the pseudoaneurysm sac after one month was successfully treated with catheter drainage. No short-term relapse occurred. Endovascular management should be part of the basic surgical armamentarium on emergent basis, since it provides a fast and safe solution, especially when a patient's co-morbitities preclude open management and hemodynamic and anatomical status allows endovascular treatment. |
| Databáze: | OpenAIRE |
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