Sean A Kennedy, Dheeraj K Rajan, Paul Bassett, Kong Teng Tan, Arash Jaberi, Sebastian Mafeld
BACKGROUND: Vascular closure devices (VCDs) have become a mainstay in endovascular interventions in recent years. On-label use only allows for retrograde interventions originating at the common femoral artery (CFA). However, off-label use in antegrade and/or superficial femoral artery (SFA) access has become more common in the treatment of peripheral arterial disease. Despite this, there is a paucity of comparative literature assessing individual VCD safety profiles and relative complication risks of CFA vs SFA applications...
September 17, 2020: Journal of Vascular Surgery
Hui Zhao, Zhen-Zhong Wu, Jia-le Ou, Min Rao, Joyman Makamure, Hong-Xia Xia, Hong-Yao Hu
BACKGROUND: Splenic artery pseudoaneurysm (SAP) around the pancreatic head causing obstructive jaundice is an extremely rare complication, but can be life threatening once occurs. This case report is to raise awareness of this catastrophic complication and share our experience of successful endovascular management. METHODS: A 47-year-old male with a history of chronic pancreatitis clinically presented with epigastric pain and jaundice. Proximal SAP complicated with obstructive jaundice was confirmed by laboratory and imaging investigations...
September 16, 2020: Annals of Vascular Surgery
Patrick Tran, Jamal Nasir Khan, David Hildick-Smith, Martin Been
Pseudoaneurysm of the aorta is a rare and high-risk complication of native aortic valve endocarditis and can develop following cardiac surgery for aortic valve and root disease. If left untreated, there is a significant risk of aortic wall rupture and fatality. Given the high risk of mortality associated with traditional open surgical repair of aortic pseudoaneurysms, endovascular approach is a potentially favourable alternative. We describe a unique case of a young woman with a large and complex paraprosthetic pseudoaneurysm with multiple communicating fistulae which was successfully percutaneously treated with two occluder devices...
September 17, 2020: BMJ Case Reports
Jackson Chipaila, Hiroyuki Kato, Yusuke Iizawa, Nagata Motonori, Daisuke Noguchi, Kazuyuki Gyoten, Aoi Hayasaki, Takehiro Fujii, Akihiro Tanemura, Yasuhiro Murata, Naohisa Kuriyama, Masashi Kishiwada, Masanobu Usui, Hiroyuki Sakurai, Shuji Isaji, Shugo Mizuno
BACKGROUND: Arterial pseudoaneurysm is a rare but potentially fatal complication after pancreaticoduodenectomy (PD). This study aimed to evaluate the incidence and predictors associated with pseudoaneurysm formation and patient death caused by its rupture. PATIENTS AND METHOD: We retrospectively reviewed the data of 453 patients who underwent PD from April 2007 to February 2019. Uni- and multivariate analysis and receiver operating characteristic (ROC) curve analysis were performed to identify risk factors and optimal cutoff values...
September 1, 2020: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
Alessandra Pizzuto, Giuseppe Santoro, Cesare Baldi, Simona Celi, Magdalena Cuman, Al Jabri Anees, Sergio Berti, Emanuele Gasparotti, Katia Capellini, Alberto Clemente
: Left ventricular pseudoaneurysm (LVPsA) is a rare complication of myocardial infarction, cardiac surgery, chest trauma, infection or transcatheter interventions. It may cause arrhythmias, mass effect, thromboembolism and life-threatening rupture. The transcatheter approach is nowadays considered a cost-effective alternative to surgery. In this setting, 3D printing could be an emerging, powerful tool to plan transcatheter closure and choose the best occluding device. This study reports on three cases of complex LVPsA successfully treated by transcatheter device implantation guided by printed 3D heart models...
September 15, 2020: Journal of Cardiovascular Medicine
Satoru Morita, Yuka Matsuzaki, Takahiro Yamamoto, Kumi Kamoshida, Hiroshi Yamazaki, Tsuyoshi Tajima, Tsunenori Kondo, Toshio Takagi, Kazuhiko Yoshida, Kazunari Tanabe, Shuji Sakai
PURPOSE: To retrospectively evaluate the mid-term outcome of transarterial embolization (TAE) of renal artery pseudoaneurysm (RAP) including arteriovenous fistula (AVF) after partial nephrectomy screened by early postoperative contrast-enhanced CT (CE-CT). MATERIALS AND METHODS: Eighty-two patients (7.0%) who underwent TAE after partial nephrectomy were reviewed, from 1166 partial nephrectomies performed over 6 years. In 18 patients (22.0%), TAE was performed emergently on the median postoperative day (POD) seven...
September 16, 2020: CVIR Endovascular
Catherine Arvieux, Julien Frandon, Fatah Tidadini, Valérie Monnin-Bares, Alison Foote, Vincent Dubuisson, Emilie Lermite, Jean-Stéphane David, Frederic Douane, Christophe Tresallet, Marie-Christine Lemoine, Mathieu Rodiere, Pierre Bouzat, Jean-Luc Bosson, Antoine Vilotitch, Sandrine Barbois, Frédéric Thony
Importance: Splenic arterial embolization (SAE) improves the rate of spleen rescue, yet the advantage of prophylactic SAE (pSAE) compared with surveillance and then embolization only if necessary (SURV) for patients at high risk of spleen rupture remains controversial. Objective: To determine whether the 1-month spleen salvage rate is better after pSAE or SURV. Design, Setting, and Participants: In this randomized clinical trial conducted between February 6, 2014, and September 1, 2017, at 16 institutions in France, 133 patients with splenic trauma at high risk of rupture were randomized to undergo pSAE or SURV...
September 16, 2020: JAMA Surgery
Angelo Buscaglia, Giacomo Tini, Manrico Balbi, Gian Marco Rosa, Roberta Della Bona, Italo Porto
No abstract text is available yet for this article.
September 15, 2020: Polish Archives of Internal Medicine
Gurucharan S Shetty, Gayathri D Kamath, Pradeep Srinivasan
Uterine artery pseudoaneurysm is an uncommon but important cause of severe uterine bleeding in the postpartum or postsurgical setting. The standard treatment options are endovascular uterine artery embolization and bilateral surgical internal iliac artery ligation for uterus conservation or hysterectomy. We report the case of a young female with hemorrhage from an intramyometrial pseudoaneurysm following repeated curettage and hysteroscopic excision of retained products of conception. Uterus preservation was of priority, and the patient underwent uterine artery embolization; however, the pseudoaneurysm persisted due to ovarian artery collaterals...
September 14, 2020: Journal of Clinical Ultrasound: JCU
Ana Marques, Daniel Caldeira, Sofia Alegria, Ana Rita Pereira, Alexandra Briosa, Inês Cruz, Ana Rita Almeida, Isabel João, Hélder Pereira
No abstract text is available yet for this article.
2020: Cardiology Journal
Veronique Saey, Annelies Decloedt, Mario Van Poucke, Luc Peelman, Gunther van Loon, Katrien Vanderperren, Richard Ducatelle, Koen Chiers
This case report describes the clinical presentation, the necropsy findings, and genetic results of a 13-year-old Warmblood mare presented with colic and a bilaterally loud, holosystolic murmur. Echocardiographic examination revealed the presence of a thoracic aortic aneurysm, an aortic pseudoaneurysm, a periaortic hematoma (circumferential cuffing by perivascular hemorrhage), and aortopulmonary fistulation. A supravalvular aortic stenosis (SVAS) was visible during echocardiography. Necropsy confirmed that the thoracic aortic aneurysm had ruptured and connected to the pseudoaneurysm, which fistulated into the pulmonary artery...
September 14, 2020: Journal of Veterinary Internal Medicine
Joel M Prince, Naren Gupta, Thomas Kartis, Maryam B Tabrizi, Martin G Rosenthal
No abstract text is available yet for this article.
September 9, 2020: Journal of Trauma and Acute Care Surgery
Xiao-Long Li, Chen-Yi Xie, Hui-Xiong Xu
Pseudoaneurysm (PSA) formation is the most common arterial complication of endovascular procedures requiring arterial puncture. The present study reported a case of a 72-year-old male patient with iatrogenic femoral artery PSA treated with contrast-enhanced ultrasound (CEUS) - guided thrombin injection. Conventional ultrasound (US) and CEUS were used to diagnose, guide treatment, and evaluate the treatment efficacy. In the case, the PSA was successfully occluded with 1000 IU of thrombin. During the follow-up after 48 hours of thrombin injection, US found that the PSA had complete thrombosis without arterial supply...
August 27, 2020: Clinical Hemorheology and Microcirculation
Hicham Belmir, Amine Azghari, Nabil Sedki
Extracorporeal shock wave lithotripsy (ESWL) can lead to rare but severe arterial complications. The causal relationship of ESWL with arterial pseudoaneurysm formation in a patient with Behçet disease is discussed. A 35-year-old man presented with acute recrudescence of right flank pain caused by ureteral lithiasis immediately after having undergone a last session of ESWL. Abdominal examination revealed a painful pulsatile mass in the right iliac region. Contrast-enhanced computed tomography identified a pseudoaneurysm of the right external iliac artery in a patient with a medical history of Behçet disease...
September 2020: Journal of Vascular Surgery Cases and Innovative Techniques
Jose C Méndez, Eduardo Fandino, Isaber Bermúdez-Coronel, Maria A Prieto, Javier Blázquez
We describe a case of iatrogenic pseudoaneurysm of the fourth lumbar artery as a complication after transpedicular screw fixation in the lumbar spine. The lesion was succesfully occluded with endovascular liquic embolic agent infusion and the patient was fully recovered.
October 2020: Trauma Case Reports
Nicholas T Manasewitsch, Daniel Antwi-Amoabeng, Eric Lu, Bryce D Beutler, Christopher J Rowan
Free wall rupture after a myocardial infarction may rarely cause a left ventricular (LV) pseudoaneurysm to develop. LV pseudoaneurysms are most commonly discovered incidentally on echocardiography and require a high index of suspicion to diagnose. We report the case of a 73-year-old male who experienced an asymptomatic myocardial infarction leading to cardiac arrest after placement in the Trendelenburg position. During resuscitation efforts, he was discovered to have an LV pseudoaneurysm on transthoracic echocardiogram...
September 4, 2020: Curēus
Jesus Badia-Closa, Sandra Montmany, Juan Carlos Garcia-Pacheco, Victoria Lucas-Guerrero
No abstract text is available yet for this article.
September 10, 2020: Cirugía Española
Kazunari Nakahara, Koji Matsuda, Fumio Itoh
No abstract text is available yet for this article.
September 10, 2020: Gastrointestinal Endoscopy
Abarna Ramanathan, James C Witten, Steven M Gordon, Brian P Griffin, Gosta B Pettersson, Nabin K Shrestha
OBJECTIVES: A substantial proportion of infective endocarditis (IE) cases are complicated by local invasion. The purpose of this study was to identify patient and disease characteristics associated with local invasion in surgically treated IE patients. METHODS: This was a nested case-control study. All episodes of IE for patients admitted to Cleveland Clinic from January 1st , 2013 - June 30th , 2016 were identified from the Cleveland Clinic IE Registry. Patients ≥18years of age who underwent surgery for IE were included...
September 9, 2020: Clinical Microbiology and Infection
Nathan A Shlobin, Akash Mitra, Nikil Prasad, Hooman A Azad, Michael B Cloney, Benjamin S Hopkins, Babak S Jahromi, Matthew B Potts, Nader S Dahdaleh
OBJECTIVES: Vertebral artery dissections occur when tears in the intimal layer of the vertebral artery and are associated with trauma, infection, and spontaneous etiologies. We aimed to identify differences in predisposing factors and outcomes in vertebral artery dissections associated with cervical spine fractures compared to those not associated with cervical spine fractures. PATIENTS AND METHODS: We conducted a retrospective chart review of patients with vertebral artery dissections who presented to our institution at the time of dissection and had a minimum of 3 month follow-up and collected data on demographics, event characteristics, treatments, and outcomes in the form of modified Rankin scale scores...
August 26, 2020: Clinical Neurology and Neurosurgery
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