Inferior Epigastric Artery False Aneurysms: Review of the Literature and Case Report

Democritus University of Thrace, Komotina, East Macedonia and Thrace, Greece
European Journal of Vascular and Endovascular Surgery (Impact Factor: 3.07). 03/2007; 33(2):182-6. DOI: 10.1016/j.ejvs.2006.08.006
Source: PubMed

ABSTRACT A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We have reported a novel design of surface plasmon resonance (SPR) device, which uses alternative dielectric layers to enhance the SPR signal quality and modulate its resonant position. Admittance loci method of thin film design has been used in the design of such a device. The fabricated device results in a calibration curve, y= 0.124 x + 62.39 (R 2=0.99) of different glucose concentrations.
    Conference proceedings: ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference 02/2004; 3:1972-4. DOI:10.1109/IEMBS.2004.1403582
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: True aneurysms of the epigastric artery are rare. We report a case of a 65-year-old female who was admitted for increasing upper abdominal pain. A leukocytosis, pyrexia, breathing stop on inspiration, and a palpable mass next to the right costal arch with severe local pain were suspicious for acute cholecystitis. Surprisingly, sonography and CT scan revealed a 5 x 4 cm structure limited to the abdominal wall directly above the gallbladder, which showed an arterial flow in the duplex scan. After resection and an uneventful postoperative course, the histological findings confirmed the diagnosis of a symptomatic true atherosclerotic aneurysm.
    Journal of Vascular Surgery 10/2007; 46(3):572-3. DOI:10.1016/j.jvs.2007.03.042 · 2.98 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective This study describes use of ethylene vinyl alcohol copolymer (EVOH) dissolved in anhydrous dimethyl sulfoxide (DMSO) and mixed with tantalum powder to achieve radiopacity as an effective, safe, and manageable embolic agent in endovascular treatment of artery haemorrhages. Materials and methods Twenty patients with pseudoaneurysms secondary to biopsy, or surgery were treated, 11 musculoskeletal arteries, 9 visceral (4 gastroduodenal arteries). A diagnostic angiographic procedure that showed the artery lesion was always performed. Embolization was performed immediately, followed by post-embolization angiographic control. Transcatheter embolization was always performed, using a coaxial system consisting of a 4F hydrophilic guide catheter with 0.038” diameter, a microcatheter compatible with DMSO administration (Rebar microcatheter), and a microguide. All cases progressed with acute hemorrhagic syndrome of variable intensity. There were nine cases with hemorrhagic shock. Results All cases were satisfactorily resolved without recurrence of bleeding during follow-up. Conclusions Our experience with selective embolization of spontaneous or traumatic artery bleeding with Onyx has been excellent due to its simple, rapid, and safe use
    Radiología 12/2008; 50(6). DOI:10.1016/S0033-8338(08)76338-0
Show more