Ruptured Pseudoaneurysm of the Profunda Femoris Artery Due to Pellet Injury: Endovascular Treatment by Coil Embolization

Karkos, Christos D.; Karamanos, Dimitrios; Papazoglou, Konstantinos; Papadimitriou, Dimitri; Gerogiannis, Ioannis; Demiropoulos, Filippos P.; Gerassimidis, Thomas S.

doi:10.1007/s00270-008-9490-6

Cited by 7 publications

(3 citation statements)

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“…Rapid identification and selection of vessels that can be sacrificed safely, such as distal perforating branches of main vessels, is paramount to safe and effective embolization (38). In the event of pseudoaneurysm formation at the site of injury, it is important to stent graft or coil across the site of arterial break to prevent retrograde collateral flow into the pseudoaneurysm (40). Alternatively, the pseudoaneurysm may need to be filled with coils or other embolic agents to prevent perfusion.…”

Section: Technical Challengesmentioning

confidence: 99%

Endovascular interventions in the management of acute extremity trauma: a narrative review

et al. 2021

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Minimally invasive endovascular interventions including stenting and embolization have been widely adopted for the treatment of emergent and traumatic thoracoabdominal injuries. In recent years, these techniques have been utilized in the setting of extremity vascular trauma with promising outcomes. By allowing for the rapid diagnosis and subsequent treatment of penetrating or blunt vascular extremity trauma, these techniques can help to minimize blood loss, reduce operative complications, and potentially prevent limb amputation. Here, we present a narrative review of the ever-increasing role of minimally invasive interventions in the management of extremity trauma and compare its use and outcomes to open surgical repair. A special focus is placed on diagnostic imaging modalities in trauma and the role of interventional radiologists in the work-up and treatment of extremity trauma. We discuss diagnostic imaging modalities that aid in the triaging of extremity trauma, such as Doppler sonography, CT angiography, and catheterbased angiography. We present an overview on the literature related to endovascular interventions such as embolotherapy and stent grafting as well as the technical challenges associated with each technique. Finally, we present our own cases on the workup and endovascular treatment of extremity trauma, including CT angiography, particulate and coil embolization, and stent graft placement.

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Section: Technical Challengesmentioning

confidence: 99%

Endovascular interventions in the management of acute extremity trauma: a narrative review

et al. 2021

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“…20 Endovascular therapy, however, may be a useful preoperative adjunct in cases requiring open surgical repair to decrease intraoperative bleeding. 22 The technique of resuscitative endovascular balloon occlusion of the aorta (REBOA) has been described. However, the optimal use of this technique is ill defined and complications, such as iatrogenic common iliac artery rupture, have been described.…”

Section: Patient Selection For Endovascular Interventionmentioning

confidence: 99%

Life and Limb: Current Concepts in Endovascular Treatment of Extremity Trauma

Weaver

Monroe

Johnson

2021

Semin intervent Radiol

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Traumatic injury is the leading cause of death worldwide in younger patient populations and extremity trauma with associated vascular injury accounts for many trauma-related deaths. Iatrogenic injury is also a common cause of extremity vascular trauma and the incidence of iatrogenic injury will likely increase as endovascular techniques continue to become more ubiquitous. For many vascular injuries involving the extremities, surgical repair is viewed as the standard of care. Historically, endovascular techniques did not play a role in the treatment of these vascular injuries, rather they were utilized only as part of the diagnostic assessment; however, there is an increasing trend toward endovascular management of extremity vascular trauma. No validated, widely implemented algorithm to select patients for endovascular intervention exists. Transcatheter techniques, however, play an important role in the management of these patients. For arterial injuries, embolization can be used to rapidly achieve hemostasis if the vessel can be sacrificed. More advanced endovascular techniques such as stent-graft placement may be best employed in the context of isolated, proximal extremity injuries, although there is increasing literature supporting the use of advanced techniques for more distal arterial injuries. The management of peripheral venous trauma remains controversial; however, there is growing data describing successful endovascular management of some peripheral venous injuries. The purpose of this article is to review extremity vascular trauma, concepts of injury triage, endovascular techniques, and intraprocedural considerations.

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“…A.) Karkos et al 2009 [43] 1 Aneurysma spurium posttraumatisch Coil-Embolisation Saha et al 2010 [22] 1 Aneurysma verum Stentprothesen-Implantation (Viabahn) Brancaccio et al 2011 [25] 1 Aneurysma verum Coil-Embolisation Kouvelos et al 2011 [44] 3 Aneurysma spurium Stentprothesen-Implantation APF -A. profunda femoris, AAPF -Aneurysma der APF, k. A.keine Angaben…”

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