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- Title
Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft.
- Authors
Gandini, Roberto; Pipitone, Vincenzo; Konda, Daniel; Pendenza, Gianluca; Spinelli, Alessio; Stefanini, Matteo; Simonetti, Giovanni
- Abstract
A 68-year-old woman presenting with gastrointestinal bleeding (hematocrit 19.3%) and in a critical clinical condition (American Society of Anesthesiologists grade 4) from a giant superior mesenteric artery pseudoaneurysm (196.0 x 131.4 mm) underwent emergency endovascular treatment. The arterial tear supplying the pseudoaneurysm was excluded using a 5.0 mm diameter and 31 mm long monorail expanded polytetrafluoroethylene (ePTFE)-covered self-expanding nitinol stent. Within 6 days of the procedure, a gradual increase in hemoglobin levels and a prompt improvement in the clinical condition were observed. Multislice CT angiograms performed immediately, 5 days, 30 days and 3 months after the procedure confirmed the complete exclusion of the pseudoaneurysm.
- Subjects
ANEURYSMS; VASCULAR diseases; MESENTERIC artery diseases; ARTERIAL diseases; SURGERY; SURGICAL stents; SURGICAL instruments; ANGIOGRAPHY
- Publication
CardioVascular & Interventional Radiology, 2005, Vol 28, Issue 1, p102
- ISSN
0174-1551
- Publication type
journal article
- DOI
10.1007/s00270-004-0007-7