Treatment Options for Traumatic Pseudoaneurysms of the Paravisceral Abdominal Aorta

Tucker, Sonny W.; Rowe, Vincent L.; Rao, Rajeev K.; Hood, Douglas B.; Harrell, Donald S.

doi:10.1007/s10016-005-4652-3

Cited by 22 publications

(8 citation statements)

References 13 publications

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“…The causes of pseudoaneurysms are diverse, and include trauma, 3) infection, 4) inflammation, 5) and various iatrogenic events (e.g., surgery, catheterization, and percutaneous procedures). However, aortic pseudoaneurysms are most frequently associated with postoperative anastomotic complications.…”

Section: Discussionmentioning

confidence: 99%

A Spontaneous Abdominal Aortic Pseudoaneurysm Treated with N-butyl Cyanoacrylate and Coil Embolization: A Case Report

Kim

Choi

et al. 2018

ATCS

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Section: Discussionmentioning

confidence: 99%

A Spontaneous Abdominal Aortic Pseudoaneurysm Treated with N-butyl Cyanoacrylate and Coil Embolization: A Case Report

Kim

Choi

et al. 2018

ATCS

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“…Badran et al reported a patient with two separate thoracic aortic pseudoaneurysms treated 3 months apart [24]. Lagana et al treated three hepatic artery aneurysms in a single patient in one session [26].…”

Section: Discussionmentioning

confidence: 99%

“…In two reports the size of vascular lesions (abdominal aortic aneurysm endoleak and abdominal aortic PSA) were not reported and could not be measured based on provided figures [19, 24]. Both of these lesions appear to be larger than 3 cm.…”

Section: Discussionmentioning

confidence: 99%

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Catheter-directed endovascular application of thrombin: Report of 3 cases and review of the literature

et al. 2017

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Purpose To report 3 new cases of catheter-directed endovascular application of thrombin and explore trends by analysis of published case series. Materials and Methods Institutional Review Board approved this retrospective study. All cases of non-tumoral arterial embolization performed from January 2003 to January 2015 at our institution were retrospectively reviewed. Thrombin was used in 7 of 589 cases. In 3 cases intra arterial thrombin was injected via catheter to treat active hemorrhage. Four cases were excluded due to percutaneous injection into visceral pseudoaneurysms (n=3) and making ex vivo autologous clot to be injected via catheter (n=1). Fisher’s exact and the Wilcoxon rank sum tests were used to assess for association with acute nontarget thrombosis. Results Catheter-directed thrombin was used in 3/589 (0.5%) cases at our institution. All three cases were technically successful with no further bleeding (100%). Nontarget thrombosis of proximal branches occurred in 2 patients (67%) with no significant clinical consequences. Including our 3 cases, a total of 28 cases were reviewed. Of the variables examined - location (p=0.99), size (p=0.66) and etiology of vascular lesion (p=0.92), pseudoaneurysm neck anatomy (p=0.14), thrombin units (p=0.47), volume (p=0.76) or technique of use of small doses (p=0.99), use of other embolic material (p=0.67) and use of adjunct techniques (p=0.99) - none were found to be significantly associated with acute nontarget thrombosis. Technical success was 96% with no reports of reperfusion after treatment. Conclusions Catheter-directed endovascular thrombin can be an additional tool to treat pseudoaneurysms not amenable to conventional embolization. Further studies are required to optimize technique and outcomes.

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“…Tucker et al describe three cases of traumatic abdominal aortic pseudoaneurysm. Two were treated successfully with an endovascular approach, one with coils and thrombin injection into the pseudoaneurysm and one with a covered stent placement [10]. Open repair via aortorrhaphy, patch aortoplasty, or graft placement are standard.…”

Section: Discussionmentioning

confidence: 99%

Inframesocolic Abdominal Aortic Injury and Lumbar Vertebral Body Fracture Secondary to Hyperextension with Blunt Trauma

et al. 2009

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This case study describes an abdominal aortic injury and lumbar vertebral body fracture after blunt trauma. Abdominal aortic pseudoaneurysm is a rare complication of blunt abdominal trauma. Recent data reveal seven other reports in the literature. We describe a case of an inframesocolic abdominal aortic injury and lumbar vertebral body fracture from blunt trauma in a 16-year-old male after a hyperextension injury while body board surfing.

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Treatment Options for Traumatic Pseudoaneurysms of the Paravisceral Abdominal Aorta

Cited by 22 publications

References 13 publications

A Spontaneous Abdominal Aortic Pseudoaneurysm Treated with N-butyl Cyanoacrylate and Coil Embolization: A Case Report

A Spontaneous Abdominal Aortic Pseudoaneurysm Treated with N-butyl Cyanoacrylate and Coil Embolization: A Case Report

Catheter-directed endovascular application of thrombin: Report of 3 cases and review of the literature

Inframesocolic Abdominal Aortic Injury and Lumbar Vertebral Body Fracture Secondary to Hyperextension with Blunt Trauma

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