Management of aneurysm sac hygroma
(2004) In Journal of Endovascular Therapy 11(2). p.191-195- Abstract
- Purpose: To document the management strategies and outcome of patients diagnosed with sac hygroma following open or endovascular abdominal aortic aneurysm (AAA) repair. Methods: Seven men (median 68 years, range 43-79) with previous open (n=3) or endovascular (n=4) AAA repairs and increasing aneurysm diameters documented on spiral computed tomography (CT) were diagnosed with sac hygroma based on the lack of a demonstrable endoleak on CT imaging; the presence of a gelatinous, clear fluid in the sac; and a nonpulsatile sac pressure that was about one third of the systemic blood pressure. The patients were followed at regular intervals with spiral CT and percutaneous CT-guided translumbar intrasac pressure measurements. Surgical interventions... (More)
- Purpose: To document the management strategies and outcome of patients diagnosed with sac hygroma following open or endovascular abdominal aortic aneurysm (AAA) repair. Methods: Seven men (median 68 years, range 43-79) with previous open (n=3) or endovascular (n=4) AAA repairs and increasing aneurysm diameters documented on spiral computed tomography (CT) were diagnosed with sac hygroma based on the lack of a demonstrable endoleak on CT imaging; the presence of a gelatinous, clear fluid in the sac; and a nonpulsatile sac pressure that was about one third of the systemic blood pressure. The patients were followed at regular intervals with spiral CT and percutaneous CT-guided translumbar intrasac pressure measurements. Surgical interventions were performed for sac diameter increase >5 mm or expansion-related pain. Blood samples and fluid aspirated from the sac were analyzed to detect activation of the coagulation and fibrinolytic systems. Results: Over a median 21.5-month follow-up, open fenestration with resection of the aneurysm wall or open tight wrapping of the wall around the graft in 4 patients did not prevent hygroma reoccurrence, nor did repeated punctures with aspiration of fluid in the other 3 patients. Aneurysm diameters remained unchanged during the observation period. Conclusions: Only symptomatic hygromas need be treated, but the treatment of choice remains to be established, since puncture, fenestration, or resection of the sac do not seem to be adequate. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/899100
- author
- Risberg, B ; Delle, M ; Lonn, L and Syk, Ingvar LU
- organization
- publishing date
- 2004
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- abdominal aortic aneurysm, enclovascular repair, open repair, stent-graft, aneurysm expansion, hygroma, polytetrafluoroethylene, graft, Dacron graft
- in
- Journal of Endovascular Therapy
- volume
- 11
- issue
- 2
- pages
- 191 - 195
- publisher
- International Society of Endovascular Specialists
- external identifiers
-
- wos:000220771800016
- pmid:15056031
- scopus:1842631489
- pmid:15056031
- ISSN
- 1545-1550
- DOI
- 10.1583/03-1059.1
- language
- English
- LU publication?
- yes
- id
- 1210e0c7-7cc0-4784-9e0d-378b9694334d (old id 899100)
- date added to LUP
- 2016-04-01 12:03:31
- date last changed
- 2022-01-26 22:12:54
@article{1210e0c7-7cc0-4784-9e0d-378b9694334d,
abstract = {{Purpose: To document the management strategies and outcome of patients diagnosed with sac hygroma following open or endovascular abdominal aortic aneurysm (AAA) repair. Methods: Seven men (median 68 years, range 43-79) with previous open (n=3) or endovascular (n=4) AAA repairs and increasing aneurysm diameters documented on spiral computed tomography (CT) were diagnosed with sac hygroma based on the lack of a demonstrable endoleak on CT imaging; the presence of a gelatinous, clear fluid in the sac; and a nonpulsatile sac pressure that was about one third of the systemic blood pressure. The patients were followed at regular intervals with spiral CT and percutaneous CT-guided translumbar intrasac pressure measurements. Surgical interventions were performed for sac diameter increase >5 mm or expansion-related pain. Blood samples and fluid aspirated from the sac were analyzed to detect activation of the coagulation and fibrinolytic systems. Results: Over a median 21.5-month follow-up, open fenestration with resection of the aneurysm wall or open tight wrapping of the wall around the graft in 4 patients did not prevent hygroma reoccurrence, nor did repeated punctures with aspiration of fluid in the other 3 patients. Aneurysm diameters remained unchanged during the observation period. Conclusions: Only symptomatic hygromas need be treated, but the treatment of choice remains to be established, since puncture, fenestration, or resection of the sac do not seem to be adequate.}},
author = {{Risberg, B and Delle, M and Lonn, L and Syk, Ingvar}},
issn = {{1545-1550}},
keywords = {{abdominal aortic aneurysm; enclovascular repair; open repair; stent-graft; aneurysm expansion; hygroma; polytetrafluoroethylene; graft; Dacron graft}},
language = {{eng}},
number = {{2}},
pages = {{191--195}},
publisher = {{International Society of Endovascular Specialists}},
series = {{Journal of Endovascular Therapy}},
title = {{Management of aneurysm sac hygroma}},
url = {{http://dx.doi.org/10.1583/03-1059.1}},
doi = {{10.1583/03-1059.1}},
volume = {{11}},
year = {{2004}},
}