RESUMO
El dispositivo de cierre arterial StarClose® (Abbot Vascular Devices, Abbot Laboratories,Redwood city, CA, EE.UU.) sella de forma rápida una punción arterial femoral mediante la colocación de un clip de nitinol en la adventicia de la arteria. Es un dispositivo seguro y efectivo, con ventajas respecto a la compresión manual, pero que no está exento de complicaciones. Presentamos dos casos con complicaciones tras utilización de StarClose® (AU)
The StarClose® arterial device (Abbot Vascular Devices, Abbot Laboratories, Redwood City, CA, USA) rapidly seals a femoral artery puncture by means of a nitinol clip in the adventitia of the artery. It is a safe and effective device, with advantages as regards manual compression, but is not free of complications. We present two cases with complications after using a StarClose® vascular device (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Punções/efeitos adversos , Dispositivos de Acesso Vascular/efeitos adversos , Artéria Femoral , Fatores de Risco , Falso Aneurisma/diagnósticoRESUMO
The StarClose(®) arterial device (Abbot Vascular Devices, Abbot Laboratories, Redwood City, CA, USA) rapidly seals a femoral artery puncture by means of a nitinol clip in the adventitia of the artery. It is a safe and effective device, with advantages as regards manual compression, but is not free of complications. We present two cases with complications after using a StarClose(®) vascular device.
Assuntos
Falso Aneurisma/etiologia , Artéria Femoral/cirurgia , Hemorragia/etiologia , Punções , Dispositivos de Oclusão Vascular/efeitos adversos , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Trombose/etiologia , Tíbia/fisiopatologia , Fíbula/fisiopatologia , Exostose Múltipla Hereditária/complicações , Claudicação Intermitente/fisiopatologia , Fatores de RiscoRESUMO
El arco aórtico izquierdo con arteria subclavia derecha aberrante constituye la anomalía vascular congénita más común del arco aórtico. En el 60% de casos se origina de un segmento dilatado, denominado divertículo de Kommerell. El aneurisma de la arteria subclavia derecha aberrante es raro, puede ser clínicamente silente o cursar con síntomas inespecíficos y su rotura se asocia a una elevada mortalidad. No hay criterios precisos para el tratamiento, pero se recomienda su reparación cuando se producen síntomas por compresión o cuando alcanza 30-50mm. La radiografía puede hacer sospechar la malformación, pero la resonancia magnética (RM) o la tomografía computarizada (TC) son las pruebas de elección para realizar el diagnóstico y planificar el tratamiento. Presentamos un caso de una arteria subclavia derecha aberrante con un pequeño aneurisma calcificado en un divertículo de Kommerell que provocó dolor torácico y disfagia y fue tratado mediante un procedimiento combinado endovascular y quirúrgico (AU)
Left aortic arch with aberrant right subclavian artery is the most common congenital vascular anomaly involving the aortic arch. In 60% of cases, the aberrant right subclavian artery arises from a dilated segment of the aortic arch called Kommerell's diverticulum. Aneurysm of the aberrant right subclavian artery is rare; this condition could remain clinically silent or it could originate nonspecific symptoms. Rupture of an aneurysm of the aberrant right subclavian artery is associated with high mortality. Although there are no exact criteria to indicate the treatment of this condition, repair of the aneurysm is recommended when symptoms occur or when it reaches a size of 30mm to 50mm. The malformation can be suspected at plain-film X-ray examination, but magnetic resonance imaging (MRI) or computed tomography (CT) are the imaging tests of choice for the diagnosis and for planning treatment. We present the case of a patient with an aberrant right subclavian artery with a small calcified aneurysm in a Kommerell's diverticulum that caused chest pain and dysphagia; the patient underwent a procedure combining endovascular and surgical treatment (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Técnicas do Sistema de Duplo-Híbrido/normas , Técnicas do Sistema de Duplo-Híbrido , Artéria Subclávia/lesões , Artéria Subclávia , Veia Subclávia , Divertículo , Anomalias dos Vasos Coronários , Procedimentos Endovasculares/tendências , Angiografia , Imageamento por Ressonância Magnética/instrumentação , Imageamento por Ressonância Magnética/métodos , AortografiaRESUMO
Left aortic arch with aberrant right subclavian artery is the most common congenital vascular anomaly involving the aortic arch. In 60% of cases, the aberrant right subclavian artery arises from a dilated segment of the aortic arch called Kommerell's diverticulum. Aneurysm of the aberrant right subclavian artery is rare; this condition could remain clinically silent or it could originate nonspecific symptoms. Rupture of an aneurysm of the aberrant right subclavian artery is associated with high mortality. Although there are no exact criteria to indicate the treatment of this condition, repair of the aneurysm is recommended when symptoms occur or when it reaches a size of 30 mm to 50mm. The malformation can be suspected at plain-film X-ray examination, but magnetic resonance imaging (MRI) or computed tomography (CT) are the imaging tests of choice for the diagnosis and for planning treatment. We present the case of a patient with an aberrant right subclavian artery with a small calcified aneurysm in a Kommerell's diverticulum that caused chest pain and dysphagia; the patient underwent a procedure combining endovascular and surgical treatment.
Assuntos
Aneurisma/complicações , Aneurisma/cirurgia , Aorta Torácica/anormalidades , Aorta Torácica/cirurgia , Anormalidades Cardiovasculares/complicações , Anormalidades Cardiovasculares/cirurgia , Transtornos de Deglutição/complicações , Transtornos de Deglutição/cirurgia , Procedimentos Endovasculares , Artéria Subclávia/anormalidades , Terapia Combinada , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Subclávia/cirurgiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Certificado de Necessidades , Certificação , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Radiologia/educação , Serviço Hospitalar de Radiologia/organização & administração , Serviço Hospitalar de Radiologia/normas , Radiologia , Serviço Hospitalar de Radiologia , Radiologia Intervencionista/organização & administração , Sistemas de Informação em Radiologia/organização & administraçãoRESUMO
Postraumatic arteriovenous fistulas (AVF) usually occur after traumatisms or surgical procedures. A clinic hemodynamic repercussion, or even a cardiac failure, can be caused by them. AVF diagnosis is mainly made angiographic study. In the present works we study different "Diagnosis by Images" methods (i.e.: CT, echography, MNR, angiography, gammagraphy, etc.) used in AVF diagnosis. Also, a Bibliographic Review of such disease was made. We present four cases reports with postraumatic arteriovenous fistulas; two were located in extremities (right upper limb and left lower limb, respectively) and the other two were abdominal (left reno-renal and right renocava).