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1.
Catheter Cardiovasc Interv ; 101(5): 900-906, 2023 04.
Статья в английский | MEDLINE | ID: covidwho-2291244

Реферат

Pseudoaneurysm (PA) following carotid endarterectomy (CEA) is a rare and dangerous complication. In recent years endovascular approach has been preferred to open surgery as it is less invasive and reduces complications in an already operated neck, especially cranial nerve injuries. We report a case of large post-CEA PA causing dysphagia, successfully treated by deployment of two balloon-expandable covered stents and coil embolization of the external carotid artery. A literature review dealing with all cases of post-CEA PAs since 2000 treated by endovascular means is also reported. The research was conducted on Pubmed database using keywords "carotid pseudoaneurysm after carotid endarterectomy," "false aneurysm after carotid endarterectomy," "postcarotid endarterectomy pseudoaneurysm," and "carotid pseudoaneurysm."


Тема - темы
Aneurysm, False , Carotid Artery Injuries , Endarterectomy, Carotid , Endovascular Procedures , Humans , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/surgery , Treatment Outcome , Carotid Artery Injuries/complications , Carotid Artery Injuries/surgery , Endarterectomy, Carotid/adverse effects , Endovascular Procedures/adverse effects , Stents/adverse effects
2.
Ear Nose Throat J ; 101(10_suppl): 40S-43S, 2022 Dec.
Статья в английский | MEDLINE | ID: covidwho-2162155

Реферат

Internal maxillary artery (IMA) pseudoaneurysms are rare, and typically occur following trauma or orthognathic surgery. Pseudoaneurysms are life-threatening conditions, and expeditious workup and treatment is critical. Endoscopic treatment of an IMA pseudoaneurysm is a feasible option and should be considered when IR embolization is not available. The objective of this study is to review the literature on IMA pseudoaneurysms and present the first reported case of an IMA pseudoaneurysm successfully treated endoscopically.


Тема - темы
Aneurysm, False , Embolization, Therapeutic , Humans , Maxillary Artery , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/surgery , Endoscopy
3.
Liver Int ; 42(8): 1907-1908, 2022 08.
Статья в английский | MEDLINE | ID: covidwho-1909489

Реферат

Cases of coronary and pulmonary artery pseudoaneurysms secondary to COVID-19 have been reported in the literature and are supposed to be secondary to inflammatory and vasculitis processes linked to a viral multisystem inflammatory syndrome. Although the incidence of COVID-19-associated liver injury ranges from 14% to 53% in hospitalized patients, COVID-19-associated hepatic artery pseudoaneurysms have never been reported so far. We present the case of a patient whose follow-up CT after cryoablation of renal cell carcinoma revealed seven fusiform pseudoaneurysms of the two hepatic arteries secondary to COVID-19. Anticoagulant or anti-inflammatory treatments were not introduced. Vascular lesions were unchanged on the 3-month follow-up CT. At 6-month CT, the proximal pseudoaneurysm was replaced by a proximal occlusion of the accessory RHA.


Тема - темы
Aneurysm, False , COVID-19 , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/surgery , COVID-19/complications , Hepatic Artery/diagnostic imaging , Humans , Liver
4.
Surg Endosc ; 36(2): 871-880, 2022 02.
Статья в английский | MEDLINE | ID: covidwho-1640854

Реферат

OBJECTIVE: To acquaint with the presentation and management of the cystic artery aneurysm by enriching the reviewed literature with our own experience. BACKGROUND: Cystic artery pseudoaneurysm is an uncommon entity with varied clinical presentation. Inflammation and trauma are associated with most of the cases. Limited experience with the condition challenges the management of individual cases. MATERIALS AND METHODS: We retrieved all the reported cases of cystic artery pseudoaneurysm, published up to December 2019, from the PubMed database and excluded those arising as postoperative complications. A total of 59 cases were analyzed, and we also included our experience of managing a case of cystic artery pseudoaneurysm. RESULTS: Abdominal pain (77.9%) was the most common presentation followed by upper GI bleed (64.4%), while 19 patients (32.2%) had presented with classic Quincke's Triad. Most of the cases were diagnosed following the rupture of the pseudoaneurysm (n = 49, 83.05%). Fifteen patients presented with shock. Hyperbilirubinemia (59.3%) and anemia (55.9%) were the commonest laboratory findings. Although CT angiogram remains the investigation of choice, a conventional angiogram is the gold standard and sufficed as the definitive management in 20 cases. Cholecystectomy formed the definitive management in the rest of the cases. We successfully managed a middle-aged female patient of cystic artery aneurysm with xanthogranulomatous cholecystitis by open cholecystectomy. CONCLUSION: Cystic artery pseudoaneurysms are amenable to successful management with careful evaluation and timely cholecystectomy or angioembolization or a combination of both.


Тема - темы
Aneurysm, False , Cholecystitis, Acute , Cholecystitis , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/surgery , Cholecystectomy , Cholecystitis/surgery , Cholecystitis, Acute/complications , Cholecystitis, Acute/surgery , Female , Hepatic Artery/surgery , Humans , Middle Aged
5.
Vascular ; 30(6): 1088-1096, 2022 Dec.
Статья в английский | MEDLINE | ID: covidwho-1438233

Реферат

OBJECTIVE: This study aims to report a case series of anastomotic femoral pseudoaneurysms (PSA) treated with stent-grafting (SG) in patients at high-risk for the open surgical approach. METHODS: It is a retrospective, observational cohort study. Between 1 January 2002 and 1 April 2020, post-hoc analysis of the database including patients who received repair for femoral PSA identified those treated with SG. All but one patient were approached through a contralateral percutaneous transfemoral access, and the SG was always deployed from the common femoral artery to the profunda femoris artery. For this study, primary outcomes of interest were early (≤ 30 days) survival and patency rate. RESULTS: We identified 10/823 cases of the entire PSA cohort (1.2%). There were 9 men and 1 woman: the mean age was 76 years ± 9 (range: 64-92). Urgent intervention was performed in 4 patients. The median operative time was 30 min (IQR: 25-36). Access-related complication was never observed. In-hospital mortality occurred in 1 patient due to novel coronavirus-19-related pneumonia. Median follow-up was 24 months (IQR: 12-37); 5 patients died. At the last radiologic follow-up available, all SGs were patent without necessity of reintervention. CONCLUSION: Stent-graft repair for anastomotic femoral PSA may be considered a reasonable alternative for patients at high-risk for open surgical repair.


Тема - темы
Aneurysm, False , Blood Vessel Prosthesis Implantation , COVID-19 , Endovascular Procedures , Male , Female , Humans , Aged , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Retrospective Studies , Stents/adverse effects , Femoral Artery/diagnostic imaging , Femoral Artery/surgery , Treatment Outcome , Endovascular Procedures/adverse effects
8.
Acta Neurochir (Wien) ; 162(11): 2725-2729, 2020 11.
Статья в английский | MEDLINE | ID: covidwho-679403

Реферат

The clinical manifestations of coronavirus disease 2019 (COVID-19) are non-specific and multi-inflammatory. They vary from mild to severe manifestations that can be life-threatening. The association of SARS-CoV-2 infection and pseudoaneurysm formation or rupture of an already existing aneurysm is still unexplored. Several mechanisms may be involved, including the direct destruction to the artery by the viral infection or through the release of the inflammatory cytokines. We are presenting a case of a 13-year-old girl with a ruptured cerebral pseudoaneurysm of the left middle cerebral artery (M2 segment) with severe intracerebral hemorrhage as the earliest manifestation of COVID-19 infection.


Тема - темы
Aneurysm, False/etiology , Aneurysm, Ruptured/etiology , Cerebral Hemorrhage/etiology , Coronavirus Infections/complications , Middle Cerebral Artery , Pneumonia, Viral/complications , Adolescent , Aortic Dissection/diagnostic imaging , Aortic Dissection/etiology , Aortic Dissection/surgery , Aneurysm, False/diagnostic imaging , Aneurysm, False/surgery , Aneurysm, Ruptured/diagnostic imaging , Aneurysm, Ruptured/surgery , Angiography, Digital Subtraction , Ascites/etiology , Betacoronavirus , Brain Edema/diagnostic imaging , Brain Edema/etiology , COVID-19 , Cerebral Angiography , Cerebral Hemorrhage/diagnostic imaging , Cerebral Hemorrhage/surgery , Computed Tomography Angiography , Coronavirus , Coronavirus Infections/diagnosis , Craniotomy , Disease Progression , Female , Hepatomegaly/etiology , Humans , Kidney Diseases/etiology , Pandemics , Pneumonia, Viral/diagnosis , Respiratory Distress Syndrome/etiology , SARS-CoV-2 , Splenic Infarction/etiology , Tomography, X-Ray Computed
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