nach oben

CardioVascular and Interventional Radiology

Erschienen in:

01.01.2008 | Case Report

Endovascular Treatment of a Carotid Dissecting Pseudoaneurysm in a Patient with Ehlers-Danlos Syndrome Type IV with Fatal Outcome

verfasst von: Siok Ping Lim, Martin J. Duddy

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2008

Einloggen, um Zugang zu erhalten

Abstract

We present a patient with Ehlers-Danlos syndrome type IV (EDS IV) with a carotid dissecting pseudoaneurysm causing severe carotid stenosis. This lesion was treated endovascularly. Unfortunately, the patient died of remote vascular catastrophes (intracranial hemorrhage and abdominal aortic rupture). This unique case illustrates the perils of endovascular treatment of EDS IV patients and the need for preoperative screening for concomitant lesions. It also shows that a dissecting pseudoaneurysm can feasibly be treated with a covered stent and that closure is effective using Angioseal in patients with EDS IV.

Smith LT, Schwarze U, Goldstein J, et al. (1997) Mutations in the COL3A1 gene result in the Ehlers-Danlos syndrome type IV and alterations in the size and distribution of the major collagen fibrils of the dermis. J Invest Dermatol 108(3):241–247PubMedCrossRef

Boutouyrie P, Germain DP, Fiessinger JN, et al. (2004) Increased carotid wall stress in vascular Ehlers-Danlos syndrome. Circulation 109(12):1530–1535PubMedCrossRef

Oderich GS, Panneton JM, Bower TC, et al. (2005) The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg 42(1):98–106PubMedCrossRef

Beighton P, De Paepe A, Steinmann B, et al. (1998) Ehlers-Danlos syndromes: revised nosology, Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos Support Group (UK). Am J Med Genet 77(1):31–37PubMedCrossRef

Tseng A, Ramaiah V, Rodriguez-Lopez JA, et al. (2003) Emergent endovascular treatment of a spontaneous internal carotid artery dissection with pseudoaneurysm. J Endovasc Ther 10(3):643–646PubMedCrossRef

Scavee V, De Wispelaere JF, Mormont E, et al. (2001) Pseudoaneurysm of the internal carotid artery: treatment with a covered stent. Cardiovasc Interv Radiol 24(4):283–285CrossRef

Horowitz MB, Purdy PD, Valentine RJ, et al. (2000) Remote vascular catastrophes after neurovascular interventional therapy for type 4 Ehlers-Danlos syndrome. Am J Neuroradiol 21(5):974–976PubMed

Usinskiene J, Mazighi M, Bisdorff A, et al. (2006) Fatal peritoneal bleeding following embolization of a carotid-cavernous fistula in Ehlers-Danlos syndrome type IV. Cardiovasc Interv Radiol 29(6):1104–1106CrossRef

Kurata A, Oka H, Ohmomo T, et al. (2003) Successful stent placement for cervical artery dissection associated with the Ehlers-Danlos syndrome. Case report and review of the literature. J Neurosurg 99(6):1077–1081PubMed

10.

D’Souza ES, Williams DM, Deeb GM, et al. (2006) Resolution of large azygos vein aneurysm following stent-graft shunt placement in a patient with Ehlers-Danlos syndrome type IV. Cardiovasc Interv Radiol 29(5): 915–919CrossRef

11.

Freeman RK, Swegle J, Sise MJ (1996) The surgical complications of Ehlers-Danlos syndrome. Am Surg 62(10):869–873PubMed

12.

Schievink WI, Piepgras DG, Earnest F, et al. (1991) Spontaneous carotid-cavernous fistulae in Ehlers-Danlos syndrome type IV. Case report. J Neurosurg 74(6):991–998PubMedCrossRef

13.

Cikrit DF, Miles JH, Silver D (1987) Spontaneous arterial perforation: the Ehlers-Danlos specter. J Vasc Surg 5(2):248–255PubMedCrossRef

14.

Guillon B, Brunerear l, Biousse V, et al. (1999) Long term follow-up of aneurysms developed during extracranial internal carotid artery dissection. Neurology 53(1):117–122PubMed

Titel: Endovascular Treatment of a Carotid Dissecting Pseudoaneurysm in a Patient with Ehlers-Danlos Syndrome Type IV with Fatal Outcome
verfasst von: Siok Ping Lim
Martin J. Duddy
Publikationsdatum: 01.01.2008
Verlag: Springer-Verlag
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 1/2008
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-007-9135-1

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Endovascular Treatment of a Carotid Dissecting Pseudoaneurysm in a Patient with Ehlers-Danlos Syndrome Type IV with Fatal Outcome

Abstract

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2008

Lessons from EVA-3S and SPACE

Infarction of Uterine Fibroids After Embolization: Relationship Between Postprocedural Enhanced MRI Findings and Long-Term Clinical Outcomes

Factors Limiting Complete Tumor Ablation by Radiofrequency Ablation

Tako-Tsubo Phenomenon: Dual-Source Computed Tomography and Conventional Coronary Angiography

Embolization of a Hemorrhoid Following 18 Hours of Life-Threatening Bleeding

Balloon Angioplasty Optimization: Should We Measure Balloon Volume As Well As Pressure?

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie