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Stent-graft placement for urgent treatment or prevention of bleeding

Semiz-Oysu, Aslihan; Keussen, Inger LU and Cwikiel, Wojciech (2012) In Acta Radiologica 53(1). p.28-33
Abstract
Background: Stent-graft treatment of the patients with ongoing bleeding may be beneficial in specific situations, especially when preservation of blood flow to the distant organs is important. Purpose: To present the results of stent-graft placement for urgent treatment or prevention of the bleeding. Material and Methods: Stent-graft placement was performed urgently for the treatment of active bleeding and/or pseudoaneurysm/aneurysm in 17 patients. Diagnoses were based on clinical findings and/or imaging studies. The etiology was previous major surgery and/or percutaneous intervention in 13, malignancy in one, pancreatitis and pseudocyst in one, multitrauma due to traffic accident in one and unknown cause in one patient. Results: A total... (More)
Background: Stent-graft treatment of the patients with ongoing bleeding may be beneficial in specific situations, especially when preservation of blood flow to the distant organs is important. Purpose: To present the results of stent-graft placement for urgent treatment or prevention of the bleeding. Material and Methods: Stent-graft placement was performed urgently for the treatment of active bleeding and/or pseudoaneurysm/aneurysm in 17 patients. Diagnoses were based on clinical findings and/or imaging studies. The etiology was previous major surgery and/or percutaneous intervention in 13, malignancy in one, pancreatitis and pseudocyst in one, multitrauma due to traffic accident in one and unknown cause in one patient. Results: A total of 23 stent-grafts were placed. Angiograms obtained after placement revealed patent stent-graft with no further active extravasation or filling of pseudoaneurysm in 14 patients. Due to persistent bleeding, embolization was performed in two patients. In three patients, the stent-grafts were found to be thrombosed either immediately after placement (n = 1) or at follow-up (n = 2). Stent-grafts were patent in six of nine patients that could be followed (between 3 months and 6 years). Conclusion: Urgent stent-graft placement may be an alternative to endovascular embolization or surgery. It may be preferred when embolization is technically difficult or impossible and/or when preservation of blood supply to distal organs is essential such as in liver transplant grafts or extremity salvage. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Angiography, vascular, interventional, stents, arteries, hemorrhage
in
Acta Radiologica
volume
53
issue
1
pages
28 - 33
publisher
John Wiley & Sons
external identifiers
  • wos:000300801700006
  • scopus:84856528299
ISSN
1600-0455
DOI
10.1258/ar.2011.110141
language
English
LU publication?
yes
id
16c112c8-5a97-47ce-bd58-4a7531e38a98 (old id 2384482)
date added to LUP
2012-04-02 09:23:22
date last changed
2017-01-01 06:21:14
@article{16c112c8-5a97-47ce-bd58-4a7531e38a98,
  abstract     = {Background: Stent-graft treatment of the patients with ongoing bleeding may be beneficial in specific situations, especially when preservation of blood flow to the distant organs is important. Purpose: To present the results of stent-graft placement for urgent treatment or prevention of the bleeding. Material and Methods: Stent-graft placement was performed urgently for the treatment of active bleeding and/or pseudoaneurysm/aneurysm in 17 patients. Diagnoses were based on clinical findings and/or imaging studies. The etiology was previous major surgery and/or percutaneous intervention in 13, malignancy in one, pancreatitis and pseudocyst in one, multitrauma due to traffic accident in one and unknown cause in one patient. Results: A total of 23 stent-grafts were placed. Angiograms obtained after placement revealed patent stent-graft with no further active extravasation or filling of pseudoaneurysm in 14 patients. Due to persistent bleeding, embolization was performed in two patients. In three patients, the stent-grafts were found to be thrombosed either immediately after placement (n = 1) or at follow-up (n = 2). Stent-grafts were patent in six of nine patients that could be followed (between 3 months and 6 years). Conclusion: Urgent stent-graft placement may be an alternative to endovascular embolization or surgery. It may be preferred when embolization is technically difficult or impossible and/or when preservation of blood supply to distal organs is essential such as in liver transplant grafts or extremity salvage.},
  author       = {Semiz-Oysu, Aslihan and Keussen, Inger and Cwikiel, Wojciech},
  issn         = {1600-0455},
  keyword      = {Angiography,vascular,interventional,stents,arteries,hemorrhage},
  language     = {eng},
  number       = {1},
  pages        = {28--33},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {Stent-graft placement for urgent treatment or prevention of bleeding},
  url          = {http://dx.doi.org/10.1258/ar.2011.110141},
  volume       = {53},
  year         = {2012},
}