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Pregled bibliografske jedinice broj: 735825

Outcome of emergency endovascular treatment of large internal iliac artery aneurysms with guidewires


Cambj-Sapunar, Liana; Mašković, Josip; Brkljačić, Boris; Radonić, Vedran; Dragičević, Dragan; Ajduk, Marko
Outcome of emergency endovascular treatment of large internal iliac artery aneurysms with guidewires // European journal of radiology, 74 (2010), 1; 86-92 doi:10.1016/j.ejrad.2009.10.003 (međunarodna recenzija, članak, znanstveni)


Naslov
Outcome of emergency endovascular treatment of large internal iliac artery aneurysms with guidewires

Autori
Cambj-Sapunar, Liana ; Mašković, Josip ; Brkljačić, Boris ; Radonić, Vedran ; Dragičević, Dragan ; Ajduk, Marko

Izvornik
European journal of radiology (0720-048X) 74 (2010), 1; 86-92

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Internal iliac artery aneurysm ; emergency endovascular treatment ; guidewires

Sažetak
Guidewires have been reported as a useful occlusion material for large aneurysms of different locations with good short-term results. In this study we retrospectively evaluate long-term results of emergency embolization technique with guidewires in symptomatic internal iliac artery aneurysm (IIAA) impending rupture. In four patients presented with acute abdominal pain, multidetector computed tomography revealed unstable, 7-14cm large, IIAAs. Two patients were treated with coil embolization of distal branches followed by occlusion of aneurysmal sac with guidewires. In two patients embolization of aneurysmal sac alone was performed. In three patients complete or near complete occlusion of the aneurysmal sac was achieved and abdominal pain ceased within hours. Two patients treated with embolization of distal iliac artery branches and aneurysmal sac developed claudication that lasted up to 1 year. Their aneurysms remained thrombosed and they were without symptoms until they died 31 and 56 months later of causes unrelated to IIAA. Two patients treated with embolization of the aneurysm alone were free of ischemic symptoms. Because of incomplete embolization of the sac in one patient open surgery treatment in a non-emergency setting was performed. Complete filling of aneurysmal sac was achieved in other patient but 2 years later his aneurysm re-opened and required open surgery treatment. Embolization of aneurysmal sac of large IIAA with guidewires may be effective for immediate treatment of impending rupture. Long- term results were better when embolization of the aneurysmal sac was combined with embolization of distal IIA branches.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekt / tema
108-1080232-0141 - Primjena doplera i višeslojnog CT-a kod bolesti bubrega i krvnih žila (Boris Brkljačić, )
216-2160528-0506 - Trombolitičko liječenje ishemijskog moždanog udara na štakorskim modelima (Liana Cambj Sapunar, )

Ustanove
Klinička bolnica "Dubrava"

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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