RESUMEN
AIM: To analyse the technical challenges, clinical success, and associated complications of endovascular and percutaneous embolisation of pancreatitis-related pseudoaneurysms. MATERIALS AND METHODS: A retrospective study of patients referred for embolisation of pancreatitis-related pseudoaneurysms between January 2014 and March 2019 was conducted. Computed tomography angiography (CTA) was performed to assess the morphology of the aneurysms prior to any intervention. Percutaneous or endovascular embolisation was performed. Details of CTA and methods of embolisation were recorded. Technical success, clinical success, and complications were reported. RESULTS: A total of 80 patients (mean age, 40.69 ± 13.41 years, 73 male) underwent embolisation during the study period. Pseudoaneurysms were related to chronic pancreatitis (CP) in 44 (55%) patients and acute pancreatitis (AP) in 36 (45%) patients. Pseudoaneurysms were detected in 65 (81.2%) patients on CTA. The most common site of pseudoaneurysms was gastroduodenal artery (GDA) followed by splenic artery. Seven patients were treated with percutaneous thrombin injection and five were treated with percutaneous glue injection under ultrasound/fluoroscopy guidance. The remaining patients (n=68) underwent catheter angiography with endovascular embolisation. Technical success was achieved in 4/7 (57%) percutaneous thrombin cases and in all the cases (5/5, 100%) with percutaneous glue or endovascular (68/68,100%) embolisation. CONCLUSION: Endovascular or percutaneous embolisation of pseudoaneurysms has high technical success with an excellent safety profile.
Asunto(s)
Aneurisma Falso/terapia , Embolización Terapéutica/métodos , Procedimientos Endovasculares/métodos , Pancreatitis/complicaciones , Enfermedad Aguda , Adolescente , Adulto , Anciano , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/etiología , Arterias/diagnóstico por imagen , Niño , Angiografía por Tomografía Computarizada , Duodeno/irrigación sanguínea , Embolización Terapéutica/efectos adversos , Procedimientos Endovasculares/efectos adversos , Femenino , Adhesivo de Tejido de Fibrina/administración & dosificación , Artería Gástrica/diagnóstico por imagen , Humanos , India , Masculino , Persona de Mediana Edad , Pancreatitis Crónica/complicaciones , Recurrencia , Estudios Retrospectivos , Arteria Esplénica/diagnóstico por imagen , Centros de Atención Terciaria , Trombina/administración & dosificación , Adulto JovenRESUMEN
Deep vein thrombosis is a common clinical condition, with well-known risk factors. An unusual case of venous leiomyoma manifesting as a deep vein thrombosis in the left femoral vein of a 55-year-old man was managed successfully at our institution with anticoagulation, en-bloc excision and reconstruction of the femoral vein with spiral vein graft.
Asunto(s)
Vena Femoral/trasplante , Leiomioma/diagnóstico , Neoplasias Vasculares/diagnóstico , Trombosis de la Vena/terapia , Anticoagulantes/uso terapéutico , Vena Femoral/diagnóstico por imagen , Vena Femoral/patología , Humanos , Conducto Inguinal , Leiomioma/complicaciones , Leiomioma/patología , Leiomioma/cirugía , Masculino , Persona de Mediana Edad , Músculo Liso Vascular/patología , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Injerto Vascular/métodos , Neoplasias Vasculares/complicaciones , Neoplasias Vasculares/patología , Neoplasias Vasculares/cirugía , Trombosis de la Vena/etiologíaRESUMEN
[This corrects the article DOI: 10.1016/S1569-9056(19)34675-5.].