scholarly journals Management of Post-traumatic Peripheral Arterial Pseudoaneurysm in Antananarivo

2021 ◽  
Vol 2 (3) ◽  
pp. 134-138
Author(s):  
Zakarimanana Lucas Randimbinirina ◽  
Tsirimalala Rajaobelison ◽  
Nathan Ratsimarisolo ◽  
Ravaka Ny Aina Louiset Rakotorahalahy ◽  
Harijaona Fanomezantsoa Randrianandrianina ◽  
...  
Keyword(s):  
Arterial Injury ◽  
Computed Tomographic Angiography ◽  
Early Postoperative Period ◽  
Ptfe Graft ◽  
Computed Tomographic ◽  
Pulsatile Mass ◽  
Hospital Patients ◽  
Post Traumatic ◽  
Peripheral Arterial ◽  
Tomographic Angiography

Background: Pseudoaneurysm is the usual complication of arterial injury. The aim of this study is to describe the etiology and the management of post-traumatic peripheral arterial pseudoaneurysm in Antananarivo. Methods: This is a bicentric retrospective study for 10 years period (January 2010 to December 2019), performed in Cardiovascular Unit in Joseph Ravoahangy Andrianavalona Teaching Hospital and in Vascular Unit in Soavinandriana Hospital Center, including all patient who underwent a surgical procedure of post-traumatic peripheral arterial pseudoaneurysm. Results: 38 patients were recorded in 10 years period, which 26 patients recorded in JRA hospital and 12 patients in Soavinandriana Hospital. Patients were 33 males (86.84%) and 5 females (13.15%). Gunshots wounds (47.36%) and stabs wounds (34.21%) were the commonest circumstances of etiology. Pulsatile mass (84.21%), pain (60.52%) and palpable thrill (71.05%) were the usual of peripheral pseudoaneurysm. Doppler ultrasound (94.73%) and computed tomographic angiography (13.15%) performed the diagnosis of the pseudoaneurysm. Femoral artery (39.47%) and brachial artery (31.57%) were the most involved vessels. All patients underwent an open surgery. Surgical procedures were arterial repair in 26 patients (68.42%), reversed saphenous vein interposition in 5 patients (13.15%), PTFE graft in 2 patients (5.26%) and ligation excision in 5 patients (13.15%). There was no reoperation or mortality in early postoperative period. Conclusion: Trauma is the most common etiology of pseudoaneurysm in Antananarivo. Open surgical repair remains the procedure to treat the post-traumatic peripheral arterial pseudoaneurysm in our experience.

scholarly journals Superficial Palmar Arch Aneurysm after Carpal Tunnel Decompression, a Rare Complication: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
S. Gull ◽  
R. A. J. Spence ◽  
W. Loan
Keyword(s):  
Carpal Tunnel ◽  
Rare Complication ◽  
Computed Tomographic Angiography ◽  
Superficial Palmar Arch ◽  
Palmar Arch ◽  
Traumatic Injuries ◽  
Computed Tomographic ◽  
Pulsatile Mass ◽  
Tomographic Angiography ◽  
Arch Aneurysm

False aneurysms of the palmar arteries are rare. They are usually associated with traumatic injuries to the hand vasculature. We present a case of superficial palmar arch aneurysm (SPAA), complicating carpal tunnel decompression which presented as a pulsatile mass at the site of previous surgery. Initial diagnosis was made on clinical examination and confirmed on doppler ultrasound (US) and computed tomographic angiography (CTA). The feeding vessel of the aneurysm was subsequently occluded using coil embolization.

Erectile Dysfunction in Peripheral Vascular Disease: Endovascular Revascularization as a Potential Therapeutic Target

2020 ◽  
Vol 54 (8) ◽  
pp. 707-711
Author(s):  
Kapila S. Benaragama ◽  
Aminder A. Singh ◽  
Tahani Taj ◽  
Julian Hague ◽  
Jonathan R. Boyle ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Arterial Disease ◽  
Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Endovascular Revascularization ◽  
Significant Difference ◽  
Ethical Approval ◽  
Peripheral Arterial ◽  
Tomographic Angiography ◽  
The Impact

Introduction: Erectile dysfunction (ED) affects more than 150 million men worldwide, with deleterious effects on quality of life. ED is known to be associated with ischemic heart disease but the impact of ED in patients with peripheral arterial disease (PAD) is unknown. We assessed the prevalence and severity of ED in patients with PVD. Methods: Following ethical approval, sequential male patients diagnosed with PAD over a 1-year period following diagnosis of intermittent claudication. The patient demographics and comorbidities were recorded, with the International Index of Erectile Function (IIEF-5) questionnaire used to grade severity of ED. Computed tomographic angiography and severity of stenosis in the proximal vessels and internal pudendal arteries were correlated using a modified Bollinger Matrix scoring system. Results: 60 patients were recruited, most (77.2%) reported erectile dysfunction (52.5% severe, 22.5% moderate). Patients with severe ED were more likely to have 2 or more comorbidities (P = .009). 86.7% with severe ED had bilateral internal pudendal artery stenosis with a mean modified Bollinger score of 17.6. 35.5% of moderate ED patients had bilateral internal pudendal stenosis with a mean Bollinger score of 11.75. There was significant difference in overall scores between moderate and severe erectile dysfunction (p< 0.05), thus indicating a potential link between ED severity and extent of vessel stenosis. Conclusion: There is a substantial burden of clinically significant ED among patients with PAD. This study suggests ED should be discussed with all PAD patients and ED may precede a PAD diagnosis. There is scope for endovascular revascularization as a treatment option for ED secondary to arterial insufficiency.

Sign in / Sign up

Export Citation Format

Share Document