Endovascular Management of Craniofacial Vascular Lesions

2006 ◽  
pp. 602-602
Author(s):  
N khandelwal ◽  
JR Bapuraj
Keyword(s):  
Vascular Lesions ◽  
Endovascular Management

Endovascular management of traumatic and iatrogenic aneurysms of the pericallosal artery

2005 ◽  
Vol 102 (3) ◽  
pp. 555-557 ◽  
Author(s):  
José E. Cohen ◽  
Gustavo Rajz ◽  
Eyal Itshayek ◽  
Yigal Shoshan ◽  
Felix Umansky ◽  
...  
Keyword(s):  
Head Injuries ◽  
Vascular Lesions ◽  
Surgical Approaches ◽  
Parent Artery ◽  
Neurosurgical Procedures ◽  
Endovascular Management ◽  
Parent Vessel ◽  
Vessel Occlusion ◽  
Content Type ◽  
Pericallosal Artery

✓ Traumatic intracranial aneurysms are rare complications of closed and penetrating head injuries and may also be related to a variety of neurosurgical procedures. The primary goals in the treatment of patients harboring these lesions are early identification and intervention to prevent bleeding. Traumatic aneurysms are fragile, prone to rupture, and represent a challenging subset of vascular lesions for either surgery or endovascular therapy. Surgical approaches to aneurysms located at the pericallosal arteries are associated with higher rates of morbidity and mortality than approaches to other supratentorial aneurysms. Current endovascular treatment most often involves occlusion of the parent artery with the potential of added morbidity. The authors present their experience in the endovascular management of traumatic and iatrogenic aneurysms of the pericallosal artery achieved by primary coil embolization with parent vessel preservation. For patients harboring traumatic pericallosal aneurysms with favorable anatomical characteristics, in which the morbidity caused by parent vessel occlusion is not acceptable, endosaccular coil placement may be a valuable option.

Endovascular management of vascular complications after percutaneous nephrolithotomy

VASA ◽  
2014 ◽  
Vol 43 (6) ◽  
pp. 459-464 ◽  
Author(s):  
Selim Kervancioglu ◽  
Feyza Gelebek Yilmaz ◽  
Sakip Erturhan
Keyword(s):  
Treatment Outcomes ◽  
Percutaneous Nephrolithotomy ◽  
Coil Embolization ◽  
Vascular Complications ◽  
Arterial Embolization ◽  
Arterial System ◽  
Vascular Lesions ◽  
Endovascular Management ◽  
Arterial Complications ◽  
Endovascular Coil Embolization

Background: Bleeding is one of the most common and most important complications of percutaneous nephrolithotomy (PCNL), which is mainly controlled with conservative treatment options. Transcatheter arterial embolization is required in less than 1 % of the patients undergoing PCNL. There are only a few studies about endovascular treatment of vascular complications of PCNL. The purpose of this study was to evaluate renal arterial complications of PCNL and treatment outcomes with endovascular coil embolization. Patients and methods: This retrospective study evaluated 16 patients who underwent endovascular management for complications after PCNL, including diagnostic angiography. We analyzed the angiographic appearances of the vascular lesions that caused hemorrhages, treatment outcomes for endovascular coil embolization, and renal parenchymal loss rate following this treatment. Results: Seven patients had a pseudoaneurysm, two patients had an arteriocaliceal fistula (ACF), five patients had a pseudoaneurysm and an arteriovenous fistula (AVF), and two patients had a pseudoaneurysm and an ACF. Of the 14 patients with pseudoaneurysms, five had more than one pseudoaneurysm. Endovascular coil embolization was successful in all patients, and it was able to stop the bleeding. After embolization, 12 patients had less than 10 % parenchymal loss, and 4 patients had 10–20 % parenchymal loss. Mean hospital stay after embolization was 2.3 ± 0.7 days (range, 1 to 3 days). Conclusions: The injuries seen in the intrarenal arterial system during the PCNL procedure can result in pseudoaneurysms and/or AVFs and/or ACFs, and more than one artery can be harmed. Arterial complications of PCNL can be treated with endovascular coil embolization while preserving renal function at a maximum level.

Endovascular management of vascular lesions after percutaneous nephrolithotomy

2015 ◽  
Vol 14 (6) ◽  
pp. e1300
Author(s):  
F-G. Burtea ◽  
B. Braticevici ◽  
B. Dorobat ◽  
Y. Salaheddin ◽  
F. Tanase ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Vascular Lesions ◽  
Endovascular Management

scholarly journals Endovascular management of unruptured intercostal artery aneurysms

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Andrew Fenwick ◽  
Patrick Omotoso ◽  
Darren Ferguson
Keyword(s):  
Vascular Lesions ◽  
Intercostal Artery ◽  
Endovascular Management ◽  
Unique Case ◽  
Case Presentation ◽  
Unruptured Aneurysms ◽  
Vascular Abnormalities ◽  
Prompt Treatment ◽  
Predisposing Conditions

Abstract Background Intercostal artery aneurysms are rare vascular abnormalities that are typically diagnosed following rupture in patients with predisposing conditions. Our report is the first to document a patient with unruptured intercostal artery aneurysms in the absence of any associated disease. Case presentation A 70-year-old male with prostatic adenocarcinoma was incidentally discovered to have multiple unruptured aneurysms of his intercostal arteries. Three of the aneurysms were embolized utilizing microcoils and glue. At six-month follow-up the patient remained asymptomatic. Conclusion We demonstrate successful endovascular management of a unique case of multiple idiopathic unruptured intercostal artery aneurysms. Appropriate diagnosis and prompt treatment of these rare vascular lesions is essential in preventing the potentially catastrophic consequences of rupture.

scholarly journals Renal Vascular Lesions: Diagnosis and Endovascular Management

2009 ◽  
Vol 26 (03) ◽  
pp. 253-261 ◽  
Author(s):  
A. Rao Chimpiri ◽  
Balasubramani Natarajan
Keyword(s):  
Vascular Lesions ◽  
Endovascular Management ◽  
Renal Vascular

Vascular trauma of the hand – a systematic review

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Uwe Wahl ◽  
Ingmar Kaden ◽  
Andreas Köhler ◽  
Tobias Hirsch
Keyword(s):  
Duplex Sonography ◽  
Vascular Trauma ◽  
Vascular Lesions ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Limited Information ◽  
Endovascular Interventions ◽  
Provocation Tests ◽  
Objective Basis ◽  
Allen Test

Abstract. Hypothenar or thenar hammer syndrome (HHS) and hand-arm vibration syndrome (HAVS) are diseases caused by acute or chronic trauma to the upper extremities. Since both diseases are generally related to occupation and are recognised as occupational diseases in most countries, vascular physicians need to be able to distinguish between the two entities and differentiate them from other diagnoses. A total of 867 articles were identified as part of an Internet search on PubMed and in non-listed occupational journals. For the analysis we included 119 entries on HHS as well as 101 papers on HAVS. A professional history and a job analysis were key components when surveying the patient’s medical history. The Doppler-Allen test, duplex sonography and optical acral pulse oscillometry were suitable for finding an objective basis for the clinical tests. In the case of HHS, digital subtraction angiography was used to confirm the diagnosis and plan treatment. Radiological tomographic techniques provided very limited information distal to the wrist. The vascular component of HAVS proved to be strongly dependent on temperature and had to be differentiated from the various other causes of secondary Raynaud’s phenomenon. The disease was medicated with anticoagulants and vasoactive substances. If these were not effective, a bypass was performed in addition to various endovascular interventions, especially in the case of HHS. Despite the relatively large number of people exposed, trauma-induced circulatory disorders of the hands can be observed in a comparatively small number of cases. For the diagnosis of HHS, the morphological detection of vascular lesions through imaging is essential since the disorder can be accompanied by critical limb ischaemia, which may require bypass surgery. In the case of HAVS, vascular and sensoneurological pathologies must be objectified through provocation tests. The main therapeutic approach to HAVS is preventing exposure.

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