Abstract:
PURPOSE:To present a case of upper gastrointestinal bleeding (UGIB) that was treated with percutaneous endovascular embolization using Amplatzer vascular plug and hydrogel coils after failed endoscopic treatment. CASE REPORT:A 78-year-old male was referred for endovascular treatment of massive recurrent UGIB from a duodenal ulcer. Attempts at endoscopic treatment were unsuccessful. Based on our knowledge of the site of the bleeder in the duodenum from prior endoscopy, we decided to empirically embolize the gastroduodenal artery (GDA) and the right gastroepiploic artery using a combination of coils (Azur peripheral hydrocoil; Terumo Medical Corporation, Somerset, New Jersey) and Amplatzer vascular plug II (AVP II; AGA Medical, Plymouth, Minnesota). CONCLUSION:We present this case of UGIB where effective, rapid, precise, and controlled embolization of the GDA was achieved using AVP II device in combination with coils. To our knowledge, the use of AVP II in embolization of GDA for treatment of emergent UGIB has not been described in the literature.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Abdel-Aal AK,Osman S,Hamed MF,Saddekni S,Saad WEdoi
10.1177/1538574411399158subject
Has Abstractpub_date
2011-04-01 00:00:00pages
307-10issue
3eissn
1538-5744issn
1938-9116pii
45/3/307journal_volume
45pub_type
杂志文章abstract::Isolated aneurysms of the internal iliac artery (IIIAA) represent a rare pathology. The application of endovascular therapy has been shown to reduce both mortality and blood loss. We present a case of an isolated left internal iliac artery aneurysm treated with a hybrid approach. A 92-year-old male was found to have a...
journal_title:Vascular and endovascular surgery
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abstract:BACKGROUND:Open repair (OR) for popliteal artery aneurysm (PAA) has recently been challenged by endovascular repair (ER) as the primary choice of treatment. The aim of the present study was to evaluate time trends in treatment modality and compare outcomes between OR and ER among electively operated patients after star...
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doi:10.1177/1538574417742762
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abstract:PURPOSE:When critical limb ischemia (CLI) occurs in patients with thromboangiitis obliterans (TAO) or Buerger's disease, smoking cessation alone may be insufficient to relieve rest pain and promote wound healing. Accordingly, adjunctive measures are warranted to restore adequate blood flow required for limb salvage. Th...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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abstract::This study evaluated the learning curve for a second-year general surgery resident and compared 2 totally laparoscopic aortic surgery techniques in 10 pigs: the transretroperitoneal apron approach and the transperitoneal retrocolic approach. Five end points were compared: success rate, percentage of conversion, time r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574407299800
更新日期:2007-06-01 00:00:00
abstract::In this study, the effect of heparin-derived oligosaccharide on bovine vascular smooth muscle cell (VSMC) proliferation and signal transduction mechanism was investigated. Extracellular-signal-regulated kinase (ERK) 1/2 has been implicated in the regulation of various cellular functions including proliferation, and we...
journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574412442595
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Inflammatory bowel disease (IBD) is a chronic multisystem inflammatory condition with associated endothelial dysfunction and dysregulated coagulation. Although deep venous thrombosis (DVT) in IBD has been well described, arterial thrombosis and thromboembolism are less commonly appreciated. METHODS:A 63-y...
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abstract::Endovascular embolization of visceral arteries is commonly performed as treatment for aneurysms, pseudoaneurysms, and emboloradiation of liver tumors; while considered relatively safe, it is not without complications. We are reporting 2 cases of coil migration into the gastrointestinal tract. Patients were successfull...
journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
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abstract::Finger ischemia due to embolic occlusion of digital arteries resulting from trauma to the palmar ulnar artery has been termed hypothenar hammer syndrome (HHS). In HHS, arterial thrombosis and/or aneurysm formation with embolization to the digital arteries causes symptoms of ischemia. We describe a patient in whom the ...
journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574409334346
更新日期:2009-10-01 00:00:00
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journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
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abstract::Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and renal insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case of a 68-year-old male who presented with a r...
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abstract:OBJECTIVES:Remote ischemic preconditioning (RIPC) involves the phenomenon whereby transient episodes of limb ischemia induced by cuff inflation provide cardioprotection. The effectiveness of RIPC in vascular surgery is uncertain. This randomized, controlled trial was designed to investigate the potential of two episode...
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,随机对照试验
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