Multi-detector CT angiography in case of concomitant pseudoaneurysm and arteriovenous fistula of the lateral superior geniculate artery

Saboo, Sachin S.; Juan, Yu Hsiang; Belkin, Michael; Sacks, Ari; Khandelwal, Ashish; Steigner, Michael L.; Rybicki, Frank J.

doi:10.1136/postgradmedj-2013-132274

Cited by 4 publications

(2 citation statements)

References 4 publications

(3 reference statements)

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“…The computed tomography (CT) angiography has advantages over other imaging methods, including the US, magnetic resonance (MR) imaging, and angiography. It is not operator-dependent, and the isotropic volumetric data can be managed with 3D volume rendering [ 24 , 25 , 26 ]. Further, it has high sensitivity and specificity for detecting arterial injuries [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Imaging of Acquired Myometrial Pseudoaneurysm: The Role of Manipulators as an Unusual Cause during Laparoscopic Surgery

et al. 2022

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An acquired uterine artery myometrial pseudoaneurysm can occur due to inflammation, trauma, or iatrogenic causes, such as surgical procedures, and can lead to profuse bleeding. The efficacy of uterine manipulators in gynecological surgery, particularly as a cause of a pseudoaneurysm, has been poorly discussed in the literature. In this paper, we discuss a case of a 39-year-old woman with profuse uterine bleeding that occurred seven days after operative laparoscopic surgery for endometriosis. The color Doppler ultrasound better evoked the arterial-like turbulent blood flow inside this cavity. These sonographic features were highly suggestive of uterine artery pseudoaneurysm, presumably related to a secondary trauma caused by the manipulator. The diagnosis was subsequently re-confirmed by angiography, and the patient was treated conservatively with uterine artery embolization. Ultrasound has been shown to be a valuable and safe tool for imaging pseudoaneurysm and guiding subsequent interventional procedures. Accordingly, we briefly review the most suitable manipulators used in benign gynecological surgeries to verify if the different types in use can guide the surgeon towards the correct choice according to surgical needs and thus prevent potentially dangerous trauma.

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Section: Discussionmentioning

confidence: 99%

Ultrasound Imaging of Acquired Myometrial Pseudoaneurysm: The Role of Manipulators as an Unusual Cause during Laparoscopic Surgery

et al. 2022

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“…Like AVFs of any other anatomical site, imaging plays a vital role in diagnosis and treatment of the renal AVF[9]. Ultrasound with color Doppler is usually the initial investigation.…”

Section: Discussionmentioning

confidence: 99%

Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Nagpal

Bathla

Saboo

et al. 2016

WJCC

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An idiopathic renal arteriovenous (AV) fistula is a rare malformation of the kidney that may present insidiously with heart failure or hematuria. The treatment may be challenging due to large fistula size that may limit endovascular management. The authors report a case of an 85-year-old Caucasian woman who presented with acute heart failure and was found to have a right renal AV fistula. Since she had no prior history of renal intervention or trauma, a diagnosis of idiopathic renal AV fistula was made. She was managed by endoluminal occlusion using multiple stainless steel coils and Amplatzer vascular plug II device. The follow-up computed tomography showed complete occlusion of the fistula. This report highlights the late presentation of this rare disease and presents the utility of the combination of coils and Amplatzer device for management of a large fistula. It also reiterates that even if large, these fistulas can be managed by endovascular occlusion.

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Upper Extremity Runoff: Pearls and Pitfalls in Computed Tomography Angiography and Magnetic Resonance Angiography

Nagpal

Maller

Garg

et al. 2017

Current Problems in Diagnostic Radiology

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Multi-detector CT angiography in case of concomitant pseudoaneurysm and arteriovenous fistula of the lateral superior geniculate artery

Cited by 4 publications

References 4 publications

Ultrasound Imaging of Acquired Myometrial Pseudoaneurysm: The Role of Manipulators as an Unusual Cause during Laparoscopic Surgery

Ultrasound Imaging of Acquired Myometrial Pseudoaneurysm: The Role of Manipulators as an Unusual Cause during Laparoscopic Surgery

Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Upper Extremity Runoff: Pearls and Pitfalls in Computed Tomography Angiography and Magnetic Resonance Angiography

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