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    Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms.

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    Authors
    Keeling, A N
    McGrath, F P
    Lee, M J
    Affiliation
    Department of Academic Radiology, Beaumont Hospital, Dublin, Ireland.
    Issue Date
    2009-01
    MeSH
    Aneurysm, False
    Angiography, Digital Subtraction
    Humans
    Magnetic Resonance Imaging, Interventional
    Radiography, Interventional
    Tomography, X-Ray Computed
    Ultrasonography, Interventional
    
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    Citation
    Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms. 2009, 32 (1):2-18 Cardiovasc Intervent Radiol
    Journal
    Cardiovascular and interventional radiology
    URI
    http://hdl.handle.net/10147/127679
    DOI
    10.1007/s00270-008-9440-3
    PubMed ID
    18923864
    Abstract
    Arterial wall disruption, as a consequence of inflammation/infection, trauma (penetrating or blunt), or iatrogenic causes, may result in pseudoaneurysm formation. Currently, iatrogenic causes are increasing as a result of the growth of endovascular intervention. The frequency of other causes also seems to be increasing, but this may simply be the result of increased diagnosis by better imaging techniques, such as multidetector contrast-enhanced computed tomography. Clinically, pseudoaneurysms may be silent, may present with local or systemic signs, or can rupture with catastrophic consequences. Open surgical repair, previously the mainstay of treatment, has largely been replaced by image-guided occlusion methods. On the basis of an experience of over 100 pseudoaneurysms, treatments at various anatomical sites, imaging modalities used for accurate diagnosis, current changing therapeutic options for pseudoaneurysm management, approved embolization agents, and clinical follow-up requirements to ensure adequate treatment will be discussed. Image-guided direct percutaneous and endovascular embolization of pseudoaneurysms are established treatment options with favorable success rates and minimal morbidity. The pendulum has now swung from invasive surgical repair of pseudoaneurysms to that of image-guided interventional radiology.
    Item Type
    Article
    Language
    en
    ISSN
    1432-086X
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00270-008-9440-3
    Scopus Count
    Collections
    Beaumont Hospital

    entitlement

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