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Titolo:
EMBOLIZATION FOR RUPTURED SUPERIOR MESENTERIC-ARTERY ANEURYSMS
Autore:
ISHII A; NAMIMOTO T; MORISHITA S; SAITOH R; OGUNI T; MAKITA O; TAKAHASHI M; TANAKA M; OKAMOTO M; KANEKO Y; OKAMURA K;
Indirizzi:
KUMAMOTO ROUSAI HOSP,DEPT RADIOL,1670 TAKEHARAMACHI YATSUSHIRO 866 JAPAN MIYAKONOJO MED ASSOC HOSP,DEPT RADIOL MIYAKONOJO 885 JAPAN KUMAMOTO UNIV,DEPT RADIOL KUMAMOTO 860 JAPAN KUMAMOTO ROUSAI HOSP,DEPT SURG YATSUSHIRO 886 JAPAN
Titolo Testata:
British journal of radiology
fascicolo: 820, volume: 69, anno: 1996,
pagine: 296 - 300
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSCATHETER EMBOLIZATION; MANAGEMENT; HEMORRHAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
A. Ishii et al., "EMBOLIZATION FOR RUPTURED SUPERIOR MESENTERIC-ARTERY ANEURYSMS", British journal of radiology, 69(820), 1996, pp. 296-300

Abstract

Superior mesenteric artery (SMA) aneurysms are very uncommon. They are difficult to detect until they rupture and cause hypovolaemic shock. We performed embolization in four cases of aneurysm of branches of the superior mesenteric artery, succeeding in three cases without the need for surgical treatment. In the first case, the aneurysm was excisedbecause of migration of a microcoil into the left hepatic artery. It was not retrieved because sufficient blood flow to the liver was shownon angiography after migration and no ischaemic change of liver was detected on laparotomy. In the second case, the aneurysm arose from theanterior pancreaticoduodenal artery. In the third case, the patient had two SMA aneurysms; one had been resected at surgery, another was revealed on follow-up angiography and embolized with microcoils. The fourth patient had a jejunal artery aneurysm with extravasation; haemostasis was achieved by packing it. In all four cases, no major complications were observed in the clinical course after embolization. Microcoils were considered to be the desirable embolic material, in order to prevent post-therapeutic ischaemic change. Embolization should be the treatment of choice for SMA aneurysms, because it is less invasive and takes less time than surgical treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 11:13:56