Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft

被引:20
作者
Gandini, R [1 ]
Pipitone, V [1 ]
Konda, D [1 ]
Pendenza, G [1 ]
Spinelli, A [1 ]
Stefanini, M [1 ]
Simonetti, G [1 ]
机构
[1] Univ Roma Tor Vergata, Rome, Italy
关键词
pseudoaneurysm; stent-graft; superior mesenteric artery; covered stent; giant pseudoaneurysm; pancreatitis;
D O I
10.1007/s00270-004-0007-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 x 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.
引用
收藏
页码:102 / 106
页数:5
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