Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 1/2005

01.01.2005 | CASE REPORT

Endovascular Treatment of a Giant Superior Mesenteric Artery Pseudoaneurysm Using a Nitinol Stent-Graft

verfasst von: Roberto Gandini, Vincenzo Pipitone, Daniel Konda, Gianluca Pendenza, Alessio Spinelli, Matteo Stefanini, Giovanni Simonetti

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2005

Einloggen, um Zugang zu erhalten

Abstract

A 68-year-old woman presenting with gastrointestinal bleeding (hematocrit 19.3%) and in a critical clinical condition (American Society of Anesthesiologists grade 4) from a giant superior mesenteric artery pseudoaneurysm (196.0 × 131.4 mm) underwent emergency endovascular treatment. The arterial tear supplying the pseudoaneurysm was excluded using a 5.0 mm diameter and 31 mm long monorail expanded polytetrafluoroethylene (ePTFE)-covered self-expanding nitinol stent. Within 6 days of the procedure, a gradual increase in hemoglobin levels and a prompt improvement in the clinical condition were observed. Multislice CT angiograms performed immediately, 5 days, 30 days and 3 months after the procedure confirmed the complete exclusion of the pseudoaneurysm.
Literatur
1.
Zurück zum Zitat Hama, Y, Kaji, T, Iwasaki, Y, Kyoto, Y, Kawarabayashi, N, Hatsuse, K, Kusano, S 1999Transcatheter embolization of a superior mesenteric artery pseudoaneurysm: A case reportActa Radiol40649651 Hama, Y, Kaji, T, Iwasaki, Y, Kyoto, Y, Kawarabayashi, N, Hatsuse, K, Kusano, S 1999Transcatheter embolization of a superior mesenteric artery pseudoaneurysm: A case reportActa Radiol40649651
2.
Zurück zum Zitat Bretagne, JF, Heresbach, D, Darnault, P, Raoul, JL, Gosselin, M, Carsin, M, Gastard, J 1990Pseudoaneurysm and bleeding pseudocysts in chronic pancreatitis: Radiological findings and contribution to diagnosis in 8 casesGastrointest Radiol15916PubMed Bretagne, JF, Heresbach, D, Darnault, P, Raoul, JL, Gosselin, M, Carsin, M, Gastard, J 1990Pseudoaneurysm and bleeding pseudocysts in chronic pancreatitis: Radiological findings and contribution to diagnosis in 8 casesGastrointest Radiol15916PubMed
3.
Zurück zum Zitat Eckhauser, FE, Stanley, JC, Zelenock, GB, Borlaza, GS, Freier, DT, Lindenauer, SM 1980Gastroduodenal and pancreaticoduodenal artery aneurysms: A complication of pancreatitis causing spontaneous gastrointestinal hemorrhageSurgery88335344PubMed Eckhauser, FE, Stanley, JC, Zelenock, GB, Borlaza, GS, Freier, DT, Lindenauer, SM 1980Gastroduodenal and pancreaticoduodenal artery aneurysms: A complication of pancreatitis causing spontaneous gastrointestinal hemorrhageSurgery88335344PubMed
4.
Zurück zum Zitat Hall, RI, Lavelle, MI, Venables, CW 1982Chronic pancreatitis as a cause of gastrointestinal bleedingGut2350255 Hall, RI, Lavelle, MI, Venables, CW 1982Chronic pancreatitis as a cause of gastrointestinal bleedingGut2350255
5.
Zurück zum Zitat Savastano, S, Feltrin, GP, Antonio, T, Miotto, D, Chiesura-Corona, M, Castellan, L 1993Arterial complications of pancreatitis: Diagnostic and therapeutic role of radiologyPancreas8687692PubMed Savastano, S, Feltrin, GP, Antonio, T, Miotto, D, Chiesura-Corona, M, Castellan, L 1993Arterial complications of pancreatitis: Diagnostic and therapeutic role of radiologyPancreas8687692PubMed
6.
Zurück zum Zitat Perez, C, Llauger, J, Pallardo, Y, Sanchis, E, Sabate, JM 1993Radiologic diagnosis of pseudoaneurysms complicating pancreatitisEur J Radiol16102106CrossRefPubMed Perez, C, Llauger, J, Pallardo, Y, Sanchis, E, Sabate, JM 1993Radiologic diagnosis of pseudoaneurysms complicating pancreatitisEur J Radiol16102106CrossRefPubMed
7.
Zurück zum Zitat Stambo, GW, Hallisey, MJ, Gallagher, JJ 1996Arteriographic embolization of visceral artery pseudoaneurysmsAnn Vasc Surg10476480PubMed Stambo, GW, Hallisey, MJ, Gallagher, JJ 1996Arteriographic embolization of visceral artery pseudoaneurysmsAnn Vasc Surg10476480PubMed
8.
Zurück zum Zitat Bresler, L, Boissel, P, Grosdidier, J 1991Major hemorrhage from pseudocysts and pseudoaneurysms caused by chronic pancreatitis: surgical therapyWorld J Surg15649652PubMed Bresler, L, Boissel, P, Grosdidier, J 1991Major hemorrhage from pseudocysts and pseudoaneurysms caused by chronic pancreatitis: surgical therapyWorld J Surg15649652PubMed
9.
Zurück zum Zitat Rocek, M, Peregrin, JH, Dutka, J, Ryska, M, Belina, F, Lastovckova, J 2002Percutaneous treatment of a superior mesenteric pseudoaneurysm using a stent-graftAJR Am J Roentgenol17814591461PubMed Rocek, M, Peregrin, JH, Dutka, J, Ryska, M, Belina, F, Lastovckova, J 2002Percutaneous treatment of a superior mesenteric pseudoaneurysm using a stent-graftAJR Am J Roentgenol17814591461PubMed
10.
Zurück zum Zitat McGraw, JK, Patzik, SB, Gale, SS, Dodd, JT, Boorstein, JM 1998Autogenous vein-covered stent for the endovascular management of a superior mesenteric artery pseudoaneurysmJ Vasc Interv Radiol9779782PubMed McGraw, JK, Patzik, SB, Gale, SS, Dodd, JT, Boorstein, JM 1998Autogenous vein-covered stent for the endovascular management of a superior mesenteric artery pseudoaneurysmJ Vasc Interv Radiol9779782PubMed
11.
Zurück zum Zitat Messina, LM, Shanley, CJ 1997Visceral artery aneurysmsSurg Clin North Am77425442PubMed Messina, LM, Shanley, CJ 1997Visceral artery aneurysmsSurg Clin North Am77425442PubMed
12.
Zurück zum Zitat Stone, WM, Abbas, M, Cherry, KJ, Fowl, RJ, Gloviczki, P 2002Superior mesenteric artery aneurysms: Is presence an indication for interventionJ Vasc Surg36234237CrossRefPubMed Stone, WM, Abbas, M, Cherry, KJ, Fowl, RJ, Gloviczki, P 2002Superior mesenteric artery aneurysms: Is presence an indication for interventionJ Vasc Surg36234237CrossRefPubMed
13.
Zurück zum Zitat De Bakey, ME, Cooley, DA 1953Successful resection of mycotic aneurysm of superior mesenteric artery: Case report and review of literatureAm Surg19202212PubMed De Bakey, ME, Cooley, DA 1953Successful resection of mycotic aneurysm of superior mesenteric artery: Case report and review of literatureAm Surg19202212PubMed
14.
Zurück zum Zitat Stanley, JC 1981Abdominal visceral aneurysmsHaimovici, H eds. Vascular emergenciesAppleton-Century-CroftsNew York387397 Stanley, JC 1981Abdominal visceral aneurysmsHaimovici, H eds. Vascular emergenciesAppleton-Century-CroftsNew York387397
15.
Zurück zum Zitat Stanley, JC, Wakefield, TW, Graham, LM, Whitehouse, WM Jr, Zelenock, GB, Lindenauer, SM 1986Clinical importance and management of splanchnic artery aneurysmsJ Vasc Surg3836840CrossRefPubMed Stanley, JC, Wakefield, TW, Graham, LM, Whitehouse, WM Jr, Zelenock, GB, Lindenauer, SM 1986Clinical importance and management of splanchnic artery aneurysmsJ Vasc Surg3836840CrossRefPubMed
16.
Zurück zum Zitat Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitisArch Surg1184551PubMed Stabile, BE, Wilson, SE, Debas, HT 1983Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitisArch Surg1184551PubMed
17.
Zurück zum Zitat Mandel, SR, Jaques, PF 1987Nonoperative management of peripancreatic arterial aneurysms: A 10-year experienceAnn Surg205126128PubMed Mandel, SR, Jaques, PF 1987Nonoperative management of peripancreatic arterial aneurysms: A 10-year experienceAnn Surg205126128PubMed
18.
Zurück zum Zitat Naito, A, Toyota, N, Ito, K 1995Embolization of a ruptured middle colic artery aneurysmCardiovasc Intervent Radiol185658PubMed Naito, A, Toyota, N, Ito, K 1995Embolization of a ruptured middle colic artery aneurysmCardiovasc Intervent Radiol185658PubMed
19.
Zurück zum Zitat Bindman, DJ, Rogoff, PA, Bartlett, FF, Shortsleeve, MJ 1990Transcatheter embolization of ruptured superior mesenteric artery aneurysm with Gianturco coils: A case reportCardiovasc Intervent Radiol13289290PubMed Bindman, DJ, Rogoff, PA, Bartlett, FF, Shortsleeve, MJ 1990Transcatheter embolization of ruptured superior mesenteric artery aneurysm with Gianturco coils: A case reportCardiovasc Intervent Radiol13289290PubMed
20.
Zurück zum Zitat Ku, A, Kadir, S 1990Embolization of a mesenteric artery aneurysm: Case reportCardiovasc Intervent Radiol139192PubMed Ku, A, Kadir, S 1990Embolization of a mesenteric artery aneurysm: Case reportCardiovasc Intervent Radiol139192PubMed
21.
Zurück zum Zitat Tan, B, Reidy, JF 1998Case report: Transcatheter embolization of a superior mesenteric artery pseudoaneurysm with interlocking detachable coilsClin Radiol53455457PubMed Tan, B, Reidy, JF 1998Case report: Transcatheter embolization of a superior mesenteric artery pseudoaneurysm with interlocking detachable coilsClin Radiol53455457PubMed
22.
Zurück zum Zitat Parildar, M, Oran, I, Memis, A 2003Embolization of visceral pseudoaneurysms with platinum coils and N-butylcyanoacrylateAbdom Imaging283640CrossRefPubMed Parildar, M, Oran, I, Memis, A 2003Embolization of visceral pseudoaneurysms with platinum coils and N-butylcyanoacrylateAbdom Imaging283640CrossRefPubMed
23.
Zurück zum Zitat Appel, N, Duncan, JR, Schuerer, DJ 2003Percutaneous stent-graft treatment of superior mesenteric and internal iliac artery pseudoaneurysmsJ Vasc Interv Radiol14917922PubMed Appel, N, Duncan, JR, Schuerer, DJ 2003Percutaneous stent-graft treatment of superior mesenteric and internal iliac artery pseudoaneurysmsJ Vasc Interv Radiol14917922PubMed
24.
Zurück zum Zitat Nyman, U, Svendsen, P, Jivegard, L, Klingenstierna, H, Risberg, B 2000Multiple pancreaticoduodenal aneurysms: Treatment with superior mesenteric artery stent-graft placement and distal embolizationJ Vasc Interv Radiol1112011205PubMed Nyman, U, Svendsen, P, Jivegard, L, Klingenstierna, H, Risberg, B 2000Multiple pancreaticoduodenal aneurysms: Treatment with superior mesenteric artery stent-graft placement and distal embolizationJ Vasc Interv Radiol1112011205PubMed
Metadaten
Titel
Endovascular Treatment of a Giant Superior Mesenteric Artery Pseudoaneurysm Using a Nitinol Stent-Graft
verfasst von
Roberto Gandini
Vincenzo Pipitone
Daniel Konda
Gianluca Pendenza
Alessio Spinelli
Matteo Stefanini
Giovanni Simonetti
Publikationsdatum
01.01.2005
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 1/2005
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-0007-7

Weitere Artikel der Ausgabe 1/2005

CardioVascular and Interventional Radiology 1/2005 Zur Ausgabe

OriginalPaper

Announcements

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Update Radiologie

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