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    Tytuł:
    Safety evaluation of percutaneous ultrasound-guided thrombin injection into pseudoaneurysms
    Autorzy:
    Pająk, Marta
    Hasiura, Robert
    Stępień, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1392241.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    pseudoaneurysm
    thrombin therapy
    ultrasonography
    Opis:
    Introduction: common application of endovascular procedures is frequently connected with increased risk of pseudoaneurysm at the site of the artery puncture. The most frequent method of treatment of aneurysms is percutaneous ultrasound-guided thrombin injection. The aim: The aim of this research was the safety evaluation of treatment of pseudoaneurysm by thrombin injection based on own experience. Methods and materials: 70 people (57% women, 43% men, average age 67,9 ± 10,5) with pseudoaneurysm and under ultrasound-guided thrombin injection treatment carried out between 2007 and 2018 in the Department of General and Vascular Surgery of Pirogow Hospital in Lodz were analyzed. Patients were qualified to treatment based on the aneurysm and channel morphology in ultrasound examination. Before application of medicine blood supply to the limb was clinically assessed and examined using sonography. The tip of the needle was imaged into the lumen of the aneurysm. Results: In the research group, the average aneurysm diameter was 29,9 mm (± 17,2 mm) within a range from 10 mm to 96 mm. The multi-chamber aneurysm was detected in 21% of patients. Mean channel length was 12 mm (±7,7 mm), mean width 3,5 mm (±1,4 mm), mean thrombin injected 1,7 ml (±0,7 mm) within the range from 0,5 ml to 4 ml. The treatment was successful in 94% of cases. Complications after thrombin injection occurred in 7% of cases (1 patient suffered from shock, 1 from thrombus in the saphenous vein, 3 from thrombus moving from aneurysm neck to femoral artery). No deterioration of blood supply in a limb was detected after the obliteration of the aneurysm. No relevant differences in aneurysm and channel dimensions were detected between groups with and without complications (p >0,05). Conclusions: Obliteration of the pseudoaneurysm by percutaneous ultrasound-guided thrombin injection is a highly effective method. This method is considered safe, however, it requires experience. Its application may cause complications of which some are clinically significant and may lead to health and life-threatening situations. In some specific cases, surgical treatment of choice should be considered.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 2; 20-24
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Efficacy Evaluation Of Bio Trombina ® 400 In Mini Mall Y Invasive Treatment of Complications (Pseudoaneurysms), After Venipuncture for Diagnostic Purposes. Authors’ Own Experience – Case Study of 38 Patients
    Autorzy:
    Iłżecki, Marek
    Zubilewicz, Tomasz
    Przywara, Stanisław
    Wojtak, Andrzej
    Kęsik, Jan Jakub
    Olejniczak-Nowakowska, Małgorzata
    Terlecki, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1395774.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    embolization
    pseudoaneurysm
    trombin
    Opis:
    Common use of venipuncture on upper and lower limbs for diagnostic purposes (such as coronarography or arteriography), and also during the course of treatment (angioplasty), very often bares a complication in the form of pseudoaneurysms. According to various reports, the incidence of pseudoaneurysms ranges from 0.005% to 0.5% of all vascular procedures requiring arterial cannulation (Common Femoral Artery, Brachial Artery, Radial Artery). The use of Bio Trombina® 400 in the embolization of pseudoaneurysms allows minimally invasive and effective treatment. The aim of the study was to evaluate the efficacy of pseudoaneurysm embolization with the use of Trombina 400, authors’ own experience. Material and methods. In the years 2011 - 2013, the authors of this study performed 38 vascular interventional procedures involving pseudoaneurysms as complications of venipuncture in upper and lower limbs for diagnostic and treatment purposes. All procedures involved the direct injection of thrombin into the chamber of the pseudoaneurysm under the guidance of USG Doppler (6.2 MHz linear head). 34 cases presented single chamber pseudoaneurysms while 4 cases involved multi- chamber pseudoaneurysms, which required several thrombin reinjections (Bio Trombina® 400) into each of the chambers. Pseudoaneurysm maximum size of 4 cm was set as an inclusion criterion for the embolization procedure. Furthermore, all pseudoaneurysms with a significantly wide tract in transverse dimensions were treated as an exclusion criterion because of high risk of the peripheral arteries embolization. Results. Initial success was observed in 36 patients (94.73%) in the first day after the procedure, 1 patient (2.63%) underwent thrombin reinjection procedure in the second day after the first embolization. Another patient (2.63%) underwent an open procedure in which the Common Femoral Artery was accessed, the clot evacuated, and CFA was sutured with continuous suture Prolene 6-0. Conclusions. 1. Embolization of pseudoaneurysms with USG Doppler-guided thrombin injection is an effective course of treatment for complications of cannulation. 2. The safety of pseudoaneurysm embolization depends on a surgeon’s experience. It is also crucial to keep in mind the inclusion and exclusion criteria for this type of procedure (the size of a pseudoaneurysm, the width of its base). 3. Furthermore, its cost effectiveness and short hospitalization period make pseudoaneurysm embolization an effective and valuable alternative to the classic approach.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 359-363
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Embolization of iatrogenic renal arteriovenous fistula – a case report
    Embolizacja jatrogennej przetoki tętniczo-żylnej w nerce – opis przypadku
    Autorzy:
    Kuklik, Ewa
    Pyra, Krzysztof
    Światłowski, Łukasz
    Kuczyńska, Maryla
    Sobstyl, Jan
    Drelich-Zbroja, Anna
    Jargiełło, Tomasz
    Tsitskari, Maria
    Szczerbo-Trojanowska, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1033152.pdf
    Data publikacji:
    2018
    Wydawca:
    Medical Communications
    Tematy:
    arteriovenous fistula
    kidney
    pseudoaneurysm
    treatment
    Opis:
    Renal artery pseudoaneurysms and arteriovenous fistulae most often occur as an iatrogenic complication. The article discusses a case of a patient diagnosed with an arteriovenous fistula and a pseudoaneurysm. A 64-year-old woman was admitted to the hospital due to nonspecific pain in the lumbar region. Imaging showed a typical picture of clear cell renal carcinoma. The patient was qualified for surgical treatment. After tumor resection, the patient developed microhematuria. Arteriovenous fistula and renal pseudoaneurysm were diagnosed using Doppler and computed tomography scans. The patient was qualified for arteriography with simultaneous embolization of the lesion. A follow-up evaluation confirmed the exclusion of aneurysm and fistula. Treatment outcomes were monitored using Doppler ultrasound. Doppler ultrasonography is the first method of choice in detecting and monitoring renal artery irregularities. Safety, non-invasiveness and easy access to this tool make it play a key role in the diagnosis of renal artery fistulas and pseudoaneurysms.
    Pseudotętniaki tętnic nerkowych i przetoki tętniczo-żylne nerek pojawiają się najczęściej jako powikłania jatrogenne. W pracy omówiono przypadek chorej, u której w badaniu ultrasonograficznym i tomografii komputerowej rozpoznano przetokę tętniczo-żylną i tętniaka rzekomego, zlokalizowane w nerce prawej, a następnie leczonej metodami wewnątrznaczyniowymi. Sześćdziesięcioczteroletnia kobieta została przyjęta do szpitala z powodu niespecyficznych dolegliwości bólowych w okolicy lędźwiowej. Badania obrazowe wykazały typowy obraz dla jasnokomórkowego raka nerki. Chorą zakwalifikowano do leczenia chirurgicznego. Po resekcji klinowej u pacjentki obserwowano okresowy krwinkomocz. Za pomocą badania dopplerowskiego i tomografii komputerowej zdiagnozowano przetokę tętniczo-żylną i tętniaka rzekomego nerki prawej. Chorą zakwalifikowano do arteriografii z równoczasową embolizacją. Po zabiegu embolizacji badania kontrolne potwierdziły wyłączenie tętniaka i przetoki z krążenia. Wyniki leczenia monitorowano za pomocą badań dopplerowskich. Ultrasonografia dopplerowska jest metodą z wyboru w wykrywaniu i monitorowaniu nieprawidłowości tętnic nerkowych. Bezpieczeństwo, nieinwazyjność i dostępność badania sprawiają, że odgrywa ono kluczową rolę w diagnozowaniu przetok tętnic nerkowych i pseudotętniaków.
    Źródło:
    Journal of Ultrasonography; 2018, 18, 73; 170-173
    2451-070X
    Pojawia się w:
    Journal of Ultrasonography
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Splenic artery pseudoaneurysm rupture into a pancreatic pseudocyst with its subsequent perforation as the cause of a massive intra-abdominal bleeding – case report
    Autorzy:
    Szpakowicz, Jerzy
    Szpakowicz, Paulina
    Urbanik, Andrzej
    Markuszewski, Leszek
    Powiązania:
    https://bibliotekanauki.pl/articles/1393720.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    pancreatic pseudocyst
    pseudoaneurysm
    intra-abdominal haemorrhage
    Opis:
    Pseudocysts account for approximately 70% of all cystic lesions of the pancreas. One of the most dangerous complications of pancreatic pseudocysts is bleeding into the cystic lumen; the most common cause of the bleeding is a splenic artery pseudoaneurysm rupture. This paper presents the case of a 37-year-old man treated surgically for a massive intra–abdominal haemorrhage caused by a splenic artery pseudoaneurysm rupture into the lumen of a tail of pancreas pseudocyst with its subsequent perforation into the abdominal cavity and retroperitoneal space. Peripheral resection of the pancreas together with the cyst and spleen resection was performed. There were no postoperative complications.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 6; 614-622
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Rare case of hepatic artery pseudoaneurysm
    Autorzy:
    Wyżgowski, Przemysław
    Grzela, Tomasz
    Przybył, Marta
    Nowakowska, Urszula
    Leksowski, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1394155.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    pseudoaneurysm
    hepatic artery
    aneurysm
    Opis:
    Hepatic artery aneurysms are rare, but potentially life-threatening vascular pathologies. They are usually discovered incidentally during imaging diagnostics of different pathologies. The study presented a rare case of hepatic artery pseudoaneurym with a fistula to the left branch of the portal vein.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 3; 163-165
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ruptured Splenic Artery Aneurysm (Saa) as a Complication of Acute Pancreatitis – Case Report
    Autorzy:
    Janczak, Dariusz
    Fiktus, Anna
    Pawłowski, Lech
    Jaźwiec, Przemysław
    Chabowski, Mariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1396869.pdf
    Data publikacji:
    2012-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    ruptured pseudoaneurysm
    splenic artery aneurysm (SAA)
    splenectomy
    Opis:
    The study presented a case of a 29 year-old male patient with a pseudoaneurysm of the splenic artery as a complication of acute pancreatitis. The pseudoaneurysm was incidentally diagnosed during control angio-CT. The patient underwent immediate surgery due to deterioration of his clinical condition. During laparotomy the pseudoaneurysm, spleen and part of the pancreatic tail were excised. The postoperative course proved uneventful and the patient was discharged from the hospital after seven days.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 10; 551-554
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Multi-organ trauma with rupture and Stanford type B dissection of thoracic aorta. Management sequence. Current possibilities of medical treatment
    Autorzy:
    Majewski, Włodzimierz
    Samad, Rabih
    Bąk, Paweł
    Wardyn, Jarosław
    Kowalski, Ernest
    Dec, Paweł
    Powiązania:
    https://bibliotekanauki.pl/articles/1391805.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    blunt thoracic aortic injury (BTAI)
    lateral car crash
    multi-organ trauma
    thoracic endovascular aortic repair (TEVAR)
    traumatic aortic pseudoaneurysm
    treatment
    Opis:
    A case of a 46-year-old car driver struck with great force by a tram through the driver’s door is presented. The main trauma consisted in chest injury with multi-rib fracture along with rupture and dissection of the thoracic aorta. Immediate medical rescue actions consisted only in procedures necessary to support vital functions; the patient survived owing to being promptly transported to the Emergency Department to undergo thoracotomy and laparotomy with massive blood transfusion. Polytrauma angio-CT scan revealed a posttraumatic thoracic aorta lesion which in turn was treated by deployment of an endovascular thoracic stent graft. This way, the immediate risk of death was averted, and the remaining traumatic lesions and conditions could be treated. Patient was discharged to a Rehabilitation Center on the 49th day of treatment. The authors stress that trauma resulting from accidents with this particular mechanism, i.e. lateral car crash on the driver’s side with the driver’s door being staved in by the tram, should be managed by immediate transport of the patient to the Emergency Center. In such cases early drainage of the pleural cavity can deteriorate patient’s status by increasing the bleeding from the ruptured aorta.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 6; 45-50
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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