Clinical research of endovascular management of visceral artery pseudoaneurysm

LU Zai-ming; WEN Feng; GUO Qi-yong; SUN Wei; LIU Zhao-yu; ZHENG Jia-he; HU Yuan

Journal of China Clinic Medical Imaging ›› 2007, Vol. 18 ›› Issue (12) : 889-892.

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Clinical research of endovascular management of visceral artery pseudoaneurysm

LU Zai-ming1, WEN Feng1, GUO Qi-yong1, SUN Wei1, LIU Zhao-yu1, ZHENG Jia-he1, HU Yuan2

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Abstract

Objective: To discuss the interventional strategy and technique for visceral artery pseudoaneurysm. Methods: Transfemoral angiography were performed in 18 cases with visceral artery pseudoaneurysm(male 14, female 4). Obvious abdominal pain(n=9), shock(n=4), and jaundice(n=1) were present because of blood loss(n=18). Transarterial embolization was performed after angiography in all cases and gelatin sponge articles and coils(0.035inch) were used as embolus. Results: Seventeen of the 18 cases(94.4%) were succeeded to stop bleeding after endovascular management. Fifteen of the 18 cases(83.3%) were succeeded to stop bleeding after the first procedure. The organ in which the artery embolized was complicated by local infarction in 5 cases(27.8%). Conclusion: Most visceral artery pseudoaneurysm can be treated by endovascular embolization. The 0.035inch coils and gelatin sponge articles are all avaliable as embolus and it should be considered how to use them, alternatively or combinatively. Local organic infarction should be noticed in the procedure.

Key words

aneurysm / radiology / interventional

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LU Zai-ming;WEN Feng;GUO Qi-yong;SUN Wei;LIU Zhao-yu;ZHENG Jia-he;HU Yuan. Clinical research of endovascular management of visceral artery pseudoaneurysm[J]. Journal of China Clinic Medical Imaging. 2007, 18(12): 889-892