Superselective Embolization of Superior Gluteal Artery Pseudoaneurysms Following Intramuscular Injection:

Vauthey, Jean Nicolas; Maddern, Guy J.; Balsiger, Daniel; Blumgart, Leslie H.; Triller, Jürgen

doi:10.1097/00005373-199131080-00020

Cited by 22 publications

(10 citation statements)

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“…The potential risk of this type of procedure (embolization) is ischemia of the gluteal muscle. 2,13,14 Superselective embolization with controlled release coils reduces this risk. 1,11 Alternatives to coil embolization include embolization with glue or other emboligenic agents, such as cyanoacrylate glue and onyx.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurisma da artéria glútea inferior após queda de bicicleta: relato de caso

Costa¹,

Yoshida

Gibin

et al. 2018

J. vasc. bras.

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Resumo Pseudoaneurismas de artérias glúteas são raros, especialmente os que envolvem a artéria glútea inferior. Eles estão associados principalmente a traumas penetrantes, infecções ou fraturas de pelve. Em uma minoria de casos, são causados por traumas fechados, havendo somente seis casos relatados na literatura. Apresenta-se aqui um caso de pseudoaneurisma da artéria glútea inferior direita após queda de bicicleta, evoluindo com grande hematoma na região glútea ao exame clínico e queda hematimétrica significativa. A angiotomografia revelou um grande hematoma na região glútea, com extravasamento de contraste e formação de pseudoaneurisma no local. A angiografia revelou que a origem da lesão era na artéria glútea inferior direita. Foi realizada embolização dessa artéria com molas. Após esse procedimento, o paciente foi encaminhado para a unidade de terapia intensiva, de onde foi posteriormente transferido para outro hospital, com o sangramento controlado. Para esses casos, o tratamento endovascular é uma opção segura, rápida e efetiva.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurisma da artéria glútea inferior após queda de bicicleta: relato de caso

Costa¹,

Yoshida

Gibin

et al. 2018

J. vasc. bras.

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“…Pseudoaneurysms have been reported with iatrogenic injuries during pelvic surgery, pelvic fractures, penetrating injuries and intramuscular injections. It may be asymptomatic but usual presentation is a painful and pulsatile swelling of the gluteal region 4, 5, 6. Sometimes it also presents as simple pain or groin strain 7 .…”

Section: Discussionmentioning

confidence: 99%

“…In the present case, embolization was performed urgently to decrease bleeding and avoid potential permanent damage to the sciatic nerve consequent to compression from the expanding gluteal hematoma. The only concern associated with this procedure was the possible development of gluteal ischemia and sciatic nerve paresis 6, 20…”

Section: Discussionmentioning

confidence: 99%

Blunt traumatic superior gluteal artery pseudoaneurysm presenting as gluteal hematoma without bony injury: A rare case report

Babu

Gupta

Sharma

et al. 2016

Chinese Journal of Traumatology

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Blunt traumatic injuries to the superior gluteal artery are rare in clinic. A majority of injuries present as aneurysms following penetrating trauma, fracture pelvis or posterior dislocation of the hip joint. We reported a rare case of superior gluteal artery pseudoaneurysm following blunt trauma presenting as large expanding right gluteal hematoma without any bony injury. The gluteal hematoma was suspected clinically, confirmed by ultrasound and the arterial injury was diagnosed by CT angiography that revealed a large right gluteal hematoma with a focal contrast leakage forming a pseudoaneurysm within the hematoma. Pseudoaneurysm arose from the superior gluteal branch of right internal iliac artery, which was successfully angioembolized. The patient was discharged on day 4 of hospitalization with resolving gluteal hematoma. This report highlighted the importance of considering an arterial injury following blunt trauma to the buttocks with subsequent painful swelling. Acknowledgment of this rare injury pattern was necessary to facilitate rapid diagnosis and appropriate treatment.

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“…10 Other documented risks associated with surgery include muscular necrosis and infection. 11 With these complications associated with open repair, less invasive techniques have been attempted with good technical and clinical success. Since 1977, there have been seven reports of successful endovascular embolization of gluteal artery aneurysms.…”

Section: Discussionmentioning

confidence: 99%

“…Since 1977, there have been seven reports of successful endovascular embolization of gluteal artery aneurysms. 4,[10][11][12][13][14] No major morbidity or mortality have been reported when endovascular techniques have been attempted. Coil embolization was used in the majority of the cases, with a few using Gelfoam embolization of the aneurysm sac.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy of Superior Gluteal Artery Aneurysms: Case Report and Review of Literature

Johnson

Wang²,

Peyton³

et al. 2007

Semin intervent Radiol

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We report two cases of superior gluteal artery aneurysms successfully treated with coil embolization and review treatment options for these lesions. Our experience in the treatment of three total aneurysms, two likely post-traumatic in etiology and one mycotic, suggests that endovascular therapy is an effective alternative to open surgery when treating superior gluteal artery aneurysms. KEYWORDS: Gluteal aneurysm, coil embolization, endovascularObjectives: Upon completion of this article, the reader should understand the indications for and advantages of using endovascular therapy to treat superior gluteal artery aneurysms. Accreditation: Tufts University School of Medicine (TUSM) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit: TUSM designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit TM . Physicians should only claim credit commensurate with the extent of their participation in the activity.Superior gluteal artery aneurysms are a rare clinical finding. These lesions are often unilateral and most commonly due to pelvic trauma. 1 We describe two cases of superior gluteal artery aneurysms: one patient with bilateral post-traumatic aneurysms and one patient with a unilateral mycotic aneurysm. Both cases were successfully treated with endovascular therapy. Subsequently, we discuss the incidence, etiology, and treatment of superior gluteal artery aneurysms. CASE 1A 75-year-old man was transferred emergently to our institution with a large actively bleeding hematoma in his right buttock. The patient had fallen earlier while in the bathroom and developed a red, warm, fluctuant mass palpable around his right buttock. He was initially seen at an outside facility, and the mass was believed to represent an abscess. Incision and drainage of the mass was attempted in the emergency room. After a liter of blood had been drained, the procedure was aborted and the site was surgically packed. The patient was resuscitated with 8 units of packed red blood cells and 4 units of fresh-frozen plasma, and he was transferred to our institution.Further information obtained from the patient's family revealed that the patient had a history of bilateral internal iliac artery aneurysms for which he declined

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Superselective Embolization of Superior Gluteal Artery Pseudoaneurysms Following Intramuscular Injection:

Cited by 22 publications

References 0 publications

Pseudoaneurisma da artéria glútea inferior após queda de bicicleta: relato de caso

Pseudoaneurisma da artéria glútea inferior após queda de bicicleta: relato de caso

Blunt traumatic superior gluteal artery pseudoaneurysm presenting as gluteal hematoma without bony injury: A rare case report

Endovascular Therapy of Superior Gluteal Artery Aneurysms: Case Report and Review of Literature

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