%0 Journal Article
%T Endovascular Embolisation of Visceral Artery Pseudoaneurysms
%A Yasir Jamil Khattak
%A Tariq Alam
%A Rana Hamid Shoaib
%A Raza Sayani
%A Tanveer-ul Haq
%A Muhammad Awais
%J Radiology Research and Practice
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/258954
%X Objective. To evaluate the technical success, safety, and outcome of endovascular embolization procedure in management of visceral artery pseudoaneurysms. Materials and Methods. 46 patients were treated for 53 visceral pseudoaneurysms at our institution. Preliminary diagnostic workup in all cases was performed by contrast enhanced abdominal CT scan and/or duplex ultrasound. In all patients, embolization was performed as per the standard departmental protocol. For data collection, medical records and radiology reports of all patients were retrospectively reviewed. Technical success, safety, and outcome of the procedure were analyzed. Results. Out of 46 patients, 13 were females and 33 were males. Mean patient age was years and mean pseudoaneurysm size was £żmm. Technical success rate for endovascular visceral pseudoaneurysm coiling was 93.47% . Complication rate was 6.52% . Followup was done for a mean duration of months (0.5¨C69 months). Complete resolution of symptoms or improvement in clinical condition was seen in 36 patients (80%) out of those 45 in whom procedure was technically successful. Conclusion. Results of embolization of visceral artery pseudoaneurysms with coils at our center showed high success rate and good short term outcome. 1. Introduction Visceral arteries include arteries of the splanchnic circulation and the renal arteries [1]. The pseudoaneurysms of visceral arteries (VPAs) are uncommon and attributed to degeneration of the vessel wall mostly due to infections and adjacent inflammation, trauma, and iatrogenic causes [2]. Hemorrhage due to rupture of these pseudoaneurysms is a rare but often life threatening complication which manifests as intra-abdominal or retroperitoneal bleeding and requires emergency treatment [3, 4]. Using digital subtraction angiography the bleeding site can be evaluated followed by embolization of the bleeding vessel or pseudoaneurysm employing superselective catheterization technique [5, 6]. To the best of our knowledge there is no published data available from the developing world regarding clinical presentation, procedural results, and clinical outcome of endovascular management of visceral artery pseudoaneurysms. This study was hence carried out to present details of our initial experience with the procedure at a tertiary care hospital in a third world country. 2. Materials and Methods This cross-sectional study was carried out at radiology department of a tertiary care hospital in third world country. The study was performed in accordance with the declaration of World Medical Association Declaration of
%U http://www.hindawi.com/journals/rrp/2014/258954/