Endograft repair of an aortic pseudoaneurysm following gunshot wound injury: impact of imaging on diagnosis and planning of intervention

Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery
R WhiteS Klein

Abstract

To describe the endovascular treatment of a gunshot injury to the visceral aorta and the role of various imaging modalities in the staging and planning of the endograft procedure. The bullet entered the aorta posteriorly beneath the origin of the superior mesenteric artery and traversed the wall in a tangential manner entering the lumen proximal to the renal arteries. Intravascular ultrasound (IVUS) imaging and spiral computed tomography (CT) identified the injury that the initial angiograms failed to demonstrate. Combined use of IVUS and CT imaging enabled observation of the evolution of a pseudoaneurysm until an interval when endograft exclusion was possible. A stent-graft was customized based on precise IVUS and CT dimensional data and implanted successfully through an arteriotomy in the common femoral artery 3 weeks after the initial injury. Three-month follow-up imaging demonstrated continued exclusion of the pseudoaneurysm, and the patient remains well at 16 months. IVUS and spiral CT scans were instrumental in identifying an arteriographically undetected aortic injury. The combined imaging modalities also helped determine the timing for the endovascular procedure and provided the precise measurements for device fabricati...Continue Reading

References

Apr 1, 1995·Journal of Vascular Surgery·J C Parodi
Sep 1, 1994·Journal of Vascular Surgery·M L MarinW D Suggs
Jul 1, 1996·World Journal of Surgery·R A WhiteC de Virgilio
Jul 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J MayJ Harris
Feb 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·R A WhiteC de Virgilio
Feb 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T WhitbreadP A Gaines
Feb 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M MalinaJ Brunkwall

❮ Previous
Next ❯

Citations

Jul 20, 1999·The Surgical Clinics of North America·V J Weiss, E L Chaikof
Jan 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·H G Beebe
Jun 20, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·R Kolvenbach, E Schwierz
Dec 29, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·M MalinaJ Brunkwall
Jul 7, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·E V KinneyM T Jung
Jul 7, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·B M AxisaP R Bell
Aug 25, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·T BürgerH Lippert
Nov 15, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·John P PacanowskiMitchell H Goldman
Jul 25, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mario ZanchettaPietro Maiolino
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chuh K ChongPeter L Harris
Jul 16, 2014·Annals of Vascular Surgery·Donald G HarrisRobert S Crawford
May 28, 2008·Annals of Vascular Surgery·Z K BaldwinD B Schneider
Nov 9, 2005·Journal of Vascular Surgery·Michael W YehJohn S Lane
Mar 11, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D M MoskowitzM L Marin
Sep 14, 2002·American Heart Journal·Mirko DossWolfgang Hemmer
Sep 11, 2009·The Journal of Trauma·Richard C HershbergerFred A Luchette

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.