Management of Traumatic Iliac Vein Pseudoaneurysm by Transcatheter Embolization

Al-Damegh, Saleh A.

doi:10.1053/crad.2001.0958

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…Venous pseudoaneurysms can be classified as iatrogenic and noniatrogenic. Most of acquired noniatrogenic pseudoaneurysms are secondary to a traumatic vascular injury …”

Section: Discussionmentioning

confidence: 99%

Blunt traumatic great saphenous vein pseudoaneurysm

Lai

2018

J of Clinical Ultrasound

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Traumatic venous pseudoaneurysm is extremely rare. Only two cases of great saphenous venous (GSV) pseudoaneurysm have been reported. We present a case in which a gradually enlarged mass occurred at the calf after local injury. It was nonpulsatile and varied in size with posture. It was initially misdiagnosed by contrast MRI. Duplex ultrasound and surgical intervention eventually identified it as a GSV pseudoaneurysm. This case demonstrates the need for physicians to consider venous pseudoaneurysm as a possible diagnosis for nonpulsatile masses in patient with traumatic history, and to use Duplex ultrasound for adequate evaluation.

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“…Venous pseudoaneurysms can be classified as iatrogenic and noniatrogenic. Most of acquired noniatrogenic pseudoaneurysms are secondary to a traumatic vascular injury …”

Section: Discussionmentioning

confidence: 99%

Blunt traumatic great saphenous vein pseudoaneurysm

Lai

2018

J of Clinical Ultrasound

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“…Peripheral arterial pseudoaneurysms with active blood flow, such as femoral arteries injured during catheterization, can be diagnosed with ultrasound and treated with ultrasonographically guided thrombin injection [5, 6]. Other options include endovascular coil embolization, covered stent placement or operative repair [2, 7, 8]. However, the lack of literature on venous pseudoaneurysms limits evidence-based treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Other potential causes are congenital and secondary to trauma. Pseudoaneurysms are at risk for rupture causing massive exsanguination, or thrombosis, which carries the risk of pulmonary embolism [2, 3]. There are few reported cases of traumatic venous pseudoaneurysms in the literature.…”

Section: Introductionmentioning

confidence: 99%

Conservative management of a traumatic common iliac venous pseudoaneurysm: a case report

Lyons

Harfouche

Lopez

2017

Journal of Surgical Case Reports

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Limited evidence-based protocols exist regarding the management of venous pseudoaneurysms. Cases reports have documented surgical treatments including endovascular coil embolization or suture ligation in the setting of hemodynamic stability. Depending on the location of the venous injury, a more conservative approach to a stable pseudoaneurysm may be advantageous. This report describes a case of a patient who sustained a blunt traumatic common iliac vein pseudoaneurysm who was successfully managed non-operatively.

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“…In addition to PE, iliac vein aneurysm may rupture and lead to profound shock. 26,47,49 Rupture may occur either in retroperitoneal or intraperitoneal cavity. It is assumed that intraperitoneal free rupture may increase morbidity and mortality.…”

Section: Presentation Of Iliac Vein Aneurysmsmentioning

confidence: 99%

“…Iliac vein aneurysms could lead to fatal complications such as PE, rupture and hemorrhagic shock. 16,26,35,41,47,49,50 Thus, surgical management of these aneurysms is proposed. Although conservative management of iliac vein aneurysms were reported in the literature review, 21,23,49,50 this should only be considered in selected cases.…”

Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

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Introduction: Iliac vein aneurysm is a rare clinical entity. Iliac venous tract is the least commonlocation for venous aneurysms. There are a few cases of common, external and internal iliac veinaneurysms in the literature. However, undiagnosed and ruptured iliac venous aneurysms couldhave hazardous consequences. Herein, we reviewed all literature cases of iliac vein aneurysms.Their potential diagnostic and therapeutic challenges are discussed. Literature Review: Following a systematic search, 50 cases of iliac venous aneurysms wereidentified. We used MEDLINE [1900-March 2018] and EMBASE [until March 2018]. MeSHterms of iliac vein/veins/venous, hypogastric, inferior vena cava and aneurysm/aneurysms wereused. Fifty patients with venous aneurysms located in common, external or internal iliac veinswere found in our systematic search. Seventeen patients were female (35.4%) and 31 patients weremale (64.6%). The age range was 13 to 70 years of age. The aneurysm was located in right side in17 patients (34%). It was located in left side in 29 patients (58%) and it was bilateral in 4 patients(8%). The aneurysm was located in common, external and internal iliac veins in 15 (30%), 31(62%) and 4 (8%) patients respectively. The aneurysm was due to a previous arteriovenousfistula (AVF) in 19 patients (38%) and of them, 16 patients (32%) had a history of AVF resultingfrom a previous trauma. 29 patients (59.2%) underwent open surgical treatment. Five patients(10.2%) underwent endovascular treatment. One patient (2.0%) underwent hybrid treatment.Conservative treatment was used in 14 patients (28.6%). Conclusion: Iliac vein aneurysms are extremely rare. Its diagnosis necessitates precise clinicalsuspicion and the treatment is based on patients’ clinical scenario and radiological features. Bothopen and endovascular techniques could be feasible. Iliac vein aneurysms are more commonin men. Left sided aneurysms are more common. The most common anatomic location isexternal iliac vein. The most common cause of iliac aneurysms is dilatation of vein secondary toa traumatic AVF.

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Management of Traumatic Iliac Vein Pseudoaneurysm by Transcatheter Embolization

Cited by 8 publications

References 7 publications

Blunt traumatic great saphenous vein pseudoaneurysm

Blunt traumatic great saphenous vein pseudoaneurysm

Conservative management of a traumatic common iliac venous pseudoaneurysm: a case report

Iliac vein aneurysms: a comprehensive review

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