Pseudoaneurysm of the inferior epigastric artery: diagnosis and percutaneous treatment.

Gage, T S; Sussman, Steven K.; Conard, Frederick U.; Hull, D.; Bartus, S A

doi:10.2214/ajr.155.3.2143622

Cited by 25 publications

(26 citation statements)

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“…[4][5][6] As far as we searched in MEDical Literature Analysis and Retrieval System Online (MEDLINE), 19 published reports of 56 iatrogenic IEA injuries treated by EVT were identified between January 1965 and July 2016 ( Table 1). [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] to avoid adherence of the catheter to the glue, and the catheter should be retrieved with aspiration after the injection.…”

Section: Discussionmentioning

confidence: 99%

Emergency Endovascular Hemostatic Technique Using N-butyl Cyanoacrylate for Retroperitoneal Hematoma Caused by Inferior Epigastric Artery Injury after Undergoing Catheter Ablation for Atrial Fibrillation: A Case Report

Tsurukiri

Okumura

Sano

et al. 2017

JNET

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Objective: N-butyl cyanoacrylate (NBCA) is used as a liquid embolic agent in various hemorrhagic situations with a high technical success rate and low recurrent bleeding rate, especially in patients with coagulopathy.Case Presentation: An adult patient was admitted to the intensive care unit with coagulopathy and hemorrhagic shock.Past medical history of the patient included dual-antiplatelet therapy and warfarinization for several cardiac diseases.Retroperitoneal hematoma caused by femoral artery (FA) branch injury following percutaneous FA puncture was determined. Thus, we performed endovascular therapy (EVT) using NBCA and achieved successful hemostasis. Conclusion:NBCA used for hemostasis is linked to good technical success and the absence of complications. We concluded that EVT using NBCA is safe and effective among patients with iatrogenic FA branch injury following neuro endovascular therapy as adjunct for other conventional embolic agents.

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Section: Discussionmentioning

confidence: 99%

Emergency Endovascular Hemostatic Technique Using N-butyl Cyanoacrylate for Retroperitoneal Hematoma Caused by Inferior Epigastric Artery Injury after Undergoing Catheter Ablation for Atrial Fibrillation: A Case Report

Tsurukiri

Okumura

Sano

et al. 2017

JNET

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“…The reported causes are insertion of Tenchoff catheter, ileostomy, retained sutures, and surgical biopsy. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] A single case of spontaneous pseudoaneurysm of the IEA has been described in the English literature. 4 Clinically IEA pseudoaneurysms are difficult to diagnose because they usually present as diffuse, tender masses that are not pulsatile.…”

Section: Discussionmentioning

confidence: 99%

“…2,4,[10][11][12]14,15,18 Nonsurgically treated IEA pseudoaneurysms may remain unchanged in size for some time and may cause discomfort. 6,8 Ferrer et al 5 recommended surgery for larger pseudoaneurysms and embolization for smaller lesions.…”

Section: Discussionmentioning

confidence: 99%

“…It is a known complication of surgery, trauma, and arterial puncture [1][2][3] and it is rarely spontaneous. 4 Clinical diagnosis of IEA pseudoaneurysm is difficult and the use of sonography (US) and CT for diagnosis has been reported.…”

mentioning

confidence: 99%

“…4 Clinical diagnosis of IEA pseudoaneurysm is difficult and the use of sonography (US) and CT for diagnosis has been reported. [2][3][4][5][6][7][8][9][10][11][12][13][14] Treatment options include open surgery, percutaneous coil embolization, or embolization with N-butyl cyanoacrylate (NBCA), sonographicguided thrombin injection, or sonographic-guided compression. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] To the best of our knowledge, only 16 IEA pseudoaneurysms have been reported in the English literature with only one case of spontaneous pseudoaneurysm 4 among them.…”

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confidence: 99%

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Spontaneous inferior epigastric artery pseudoaneurysm

Venkatesh

Reynolds

Sidhu

et al. 2010

J of Clinical Ultrasound

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A case of spontaneous pseudoaneurysm of the inferior epigastric artery-diagnosed on Doppler sonography-is presented. A 19-year-old boy presented with a lump in the anterior abdominal wall. Clinically a smooth, nontender, and noncompressible mass was present above umbilicus to the right of midline. A bruit was heard over the swelling. Doppler sonography demonstrated an oval hypoechoic structure in the right rectus sheath with turbulent flow. The pseudoaneurysm could be traced to the inferior epigastric artery. Surgical excision of pseudoaneurysm was performed. Histopathology showed myxoid changes in the wall of the pseudoaneurysm with no inflammatory changes.

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