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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Vulev, Ivan Klepanec, Andrej Madaric, Juraj Tomka, Jan Sefranek, Vladimir |
Description | Country affiliation: Slovakia Author Affiliation: Vulev I ( Department of Diagnostic and Interventional Radiology, National Institute of Cardiovascular Diseases, Bratislava, Slovakia. ivan.vulev@nusch.sk) |
Abstract | Vascular complications after lumbar laminectomy are rare, but are potentially life-threatening. A 59-year-old man presented with progressive and worsening abdominal pain over several weeks. Multidetector computed tomography angiography revealed a large aorto-ostial left renal artery pseudoaneurysm 3 years after lumbar laminectomy. The pseudoaneurysm was successfully treated with a combination of various endovascular techniques ('jailed' microcatheter technique, stent-graft implantation, thrombin injection, balloon remodeling technique, Onyx application), with preserved patency of the left renal artery and pseudoaneurysm exclusion on 6-month follow-up multidetector computed tomography angiography. The size and location of this pseudoaneurysm and the combination of different techniques for endovascular treatment provides an update on current endovascular technology. Combination of different endovascular techniques can be a safe and feasible alternative for the treatment of complicated iatrogenic postlaminectomy vascular injuries and renal artery pseudoaneurysms. |
File Format | HTM / HTML |
ISSN | 08905096 |
Issue Number | 8 |
Volume Number | 25 |
e-ISSN | 16155947 |
Journal | Annals of Vascular Surgery |
Language | English |
Publisher | Elsevier |
Publisher Date | 2011-11-01 |
Publisher Place | Netherlands |
Access Restriction | Subscribed |
Subject Keyword | Therapy Humans Middle Aged Male Thrombin Laminectomy Abdominal Pain Embolization, Therapeutic Angiography, Digital Subtraction Journal Article Renal Artery Case Reports Discipline General Surgery Etiology Discipline Vascular Diseases Surgery Iatrogenic Disease Adverse Effects Tomography, X-ray Computed Endovascular Procedures Treatment Outcome Combined Modality Therapy Administration & Dosage Injections Balloon Occlusion Aneurysm, False Blood Vessel Prosthesis Implantation |
Content Type | Text |
Resource Type | Case study Article |
Subject Domain (in MeSH) | Cardiovascular System Eukaryota Nervous System Diseases Cardiovascular Diseases Pathological Conditions, Signs and Symptoms Enzymes and Coenzymes Diagnosis Therapeutics Surgical Procedures, Operative Persons |
Subject | Cardiology and Cardiovascular Medicine Surgery |
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