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Title: Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia

Abstract

Although aneurysmal complications of sickle cell anemia have been described in the intracranial circulation, visceral artery pseudoaneurysms in this disease entity have not previously been reported in the literature. Conventional treatment of visceral pseudoaneurysms has been surgical ligation or resection of the aneurysm. Transcatheter embolization has emerged as an attractive, minimally invasive alternative to surgery in the treatment of these lesions. In certain situations, however, due to the unfavorable angiographic anatomy precluding safe transcatheter embolization, direct percutaneous glue injection of the pseudoaneurysm sac may be considered to achieve successful occlusion of the sac. The procedure may be rendered safer by simultaneous balloon protection of the parent artery. We describe this novel treatment modality in a case of inferior pancreaticoduodenal artery pseudoaneurysm in a patient with sickle cell anemia. Although a complication in the form of glue reflux into the parent vessel occurred that necessitated surgery, this treatment modality may be used in very selected cases (where conventional endovascular embolization techniques are not applicable) after careful selection of the balloon diameter and appropriate concentration of the glue-lipiodol mixture.

Authors:
 [1];  [2];  [3];  [2];  [3];  [2]
  1. All India Institute of Medical Sciences, Department of Cardiovascular Radiology (India)
  2. All India Institute of Medical Sciences, Department of Gastroenterology (India)
  3. All India Institute of Medical Sciences, Department of Radiodiagnosis (India)
Publication Date:
OSTI Identifier:
21091204
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 29; Journal Issue: 4; Other Information: DOI: 10.1007/s00270-004-0204-4; Copyright (c) 2006 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANATOMY; ARTERIES; INJECTION; LIPIODOL; SICKLE CELL ANEMIA; SURGERY

Citation Formats

Gulati, Gurpreet S, Gulati, Manpreet S., Makharia, Govind, Hatimota, Pradeep, Saikia, Nripen, Paul, Shashi B, and Acharya, Subrat. Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia. United States: N. p., 2006. Web. doi:10.1007/S00270-004-0204-4.
Gulati, Gurpreet S, Gulati, Manpreet S., Makharia, Govind, Hatimota, Pradeep, Saikia, Nripen, Paul, Shashi B, & Acharya, Subrat. Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia. United States. https://doi.org/10.1007/S00270-004-0204-4
Gulati, Gurpreet S, Gulati, Manpreet S., Makharia, Govind, Hatimota, Pradeep, Saikia, Nripen, Paul, Shashi B, and Acharya, Subrat. 2006. "Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia". United States. https://doi.org/10.1007/S00270-004-0204-4.
@article{osti_21091204,
title = {Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia},
author = {Gulati, Gurpreet S and Gulati, Manpreet S. and Makharia, Govind and Hatimota, Pradeep and Saikia, Nripen and Paul, Shashi B and Acharya, Subrat},
abstractNote = {Although aneurysmal complications of sickle cell anemia have been described in the intracranial circulation, visceral artery pseudoaneurysms in this disease entity have not previously been reported in the literature. Conventional treatment of visceral pseudoaneurysms has been surgical ligation or resection of the aneurysm. Transcatheter embolization has emerged as an attractive, minimally invasive alternative to surgery in the treatment of these lesions. In certain situations, however, due to the unfavorable angiographic anatomy precluding safe transcatheter embolization, direct percutaneous glue injection of the pseudoaneurysm sac may be considered to achieve successful occlusion of the sac. The procedure may be rendered safer by simultaneous balloon protection of the parent artery. We describe this novel treatment modality in a case of inferior pancreaticoduodenal artery pseudoaneurysm in a patient with sickle cell anemia. Although a complication in the form of glue reflux into the parent vessel occurred that necessitated surgery, this treatment modality may be used in very selected cases (where conventional endovascular embolization techniques are not applicable) after careful selection of the balloon diameter and appropriate concentration of the glue-lipiodol mixture.},
doi = {10.1007/S00270-004-0204-4},
url = {https://www.osti.gov/biblio/21091204}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 4,
volume = 29,
place = {United States},
year = {Tue Aug 15 00:00:00 EDT 2006},
month = {Tue Aug 15 00:00:00 EDT 2006}
}