Transcatheter coil embolization of profunda femoris artery branch pseudoaneurysms in two cases İki olguda derin femoral arter dalı yalancı anevrizmalarının transkateter koil embolizasyonu
نویسندگان
چکیده
Derin femoral arterin (DFA) travmatik yaralanması nadir görülür ve genellikle travmatik veya iyatrojenik yaralanma sonucu meydana gelir. Semptomlar genellikle ani başlangıçlı ağrı ve üst uyluk bölgesinde kanamaya bağlı şişlik şeklinde ortaya çıkar. Geçmişte yalancı anevrizmaların tedavisi cerrahi tamirdi. Son dönemlerde transkateter embolizasyon alternatif bir tedavi olarak kabul görmektedir. Bu yazıda uyluk bölgesinde pulsatil kitle ile başvuran iki erkek hasta sunuldu. Bir hastanın öyküsünde femur cisim kırığı, diğerinde delici yaralanma vardı. Yalancı anevrizma tanısı Doppler ultrasonografi ve/veya anjiyografi ile kondu. Yalancı anevrizma bir hastada 3x3 cm büyüklüğünde idi ve sağ DFA’nın perfore dallarının birinden kaynaklanmaktaydı; diğer hastada ise 1.5x1.5 büyüklüğünde ve DFA’nın lateral femoral sirkumfleks arterinin çıkan dalından kaynaklandığı görüldü. İki hasta da platin koil kullanılarak selektif arteryel embolizasyon ile başarılı şekilde tedavi edildi.
منابع مشابه
Pseudoaneurysm of the Profunda Femoris Artery following Blunt Trauma Treated by Endovascular Coil Embolization: Review of Two Cases and Relevant Literature
Profunda femoris artery (PFA) pseudoaneurysm after blunt trauma without associated femur fracture is a rare occurrence. Most of the reported cases of PFA pseudoaneurysm in the English literature developed after penetrating trauma, surgical procedures, and femur fractures. We present two such cases following blunt trauma and without any associated long bone injury. After initial imaging failed t...
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