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CardioVascular and Interventional Radiology

Published in:

01-06-2010 | Case Report

Traumatic Inferior Gluteal Artery Aneurysm Managed with Emergency Transcatheter Thrombin Injection

Authors: Robert Juszkat, Maciej Zieliński, Mateusz Wykrętowicz, Alina Piekarek, Wacław Majewski

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

Abstract

Pseudoaneurysms of the inferior gluteal artery (IGA) are rare and are often caused by trauma. Treatment options vary and include surgery, ultrasound-guided percutaneous thrombin injection, and endovascular procedures such as stent-graft placement, coil embolization, and glue injection. We report a 70-year-old male who presented to the hospital after a road accident with a posttraumatic pseudoaneurysm that was treated by endovascular thrombin embolization. To the best of our knowledge, this is the first reported case of inferior gluteal artery false aneurysm treated by this method.

Keeling AN, Naughton PA, Leahy AL et al (2008) Traumatic inferior gluteal artery pseudoaneurysm and arteriovenous fistula managed with emergency transcatheter embolization. CardioVasc Interv Radiol 31(Suppl 2):135–139

Schwartz LB, Clark ET, Gewertz BL (2000) Anastomotic and other pseudoaneurysms. In: Rutheford RB (ed) Vascular surgery, 5th edn. WB Saunders, Philadelphia, pp 752–763

Demetriades D, Rabinowitz B, Sofianost C (1988) Gluteal artery aneurysms. Br J Surg 75:494CrossRefPubMed

Khera G, Shea AJ, Parkinson R et al (2006) Delayed diagnosis of a gluteal pseudoaneurysm caused by blunt trauma: review of the literature and presentation of a case report. J Trauma 60:644–647CrossRefPubMed

Gilroy D, Saadia R, Hide G et al (1992) Penetrating injury to gluteal region. J Trauma 82:294–297CrossRef

Gabata T, Matsui O, Kadoya M et al (1995) Successful embolization of a large superior gluteal artery pseudoaneurysm emerging during anticoagulant therapy. CardioVasc Interv Radiol 18:327–329CrossRef

Mahallati H, Owen RJ, Brunet WG et al (1999) Therapeutic embolization of a pseudoaneurysm of the superior gluteal artery occurring as a complication of bone marrow biopsy: case report. Can Assoc Radiol J 50:265–267PubMed

Natali J, Denis PJ, Kieffer E et al (1989) Syndrome de la feses barrante. J Mal Vasc 14:183–189PubMed

Vasseur MA, Doisy VC, Prat AG et al (1998) Coil embolization of a gluteal false aneurysm in a patient with Marfan syndrome. J Vasc Surg 27:177–179CrossRefPubMed

10.

Roblin P, Alexiou T, Sabharwal T et al (2007) Successful stent-graft placement for the treatment of a superior gluteal artery pseudoaneurysm in a patient following complex pelvic surgery. Br J Radiol 80:e7–e10CrossRefPubMed

11.

Zafarghandi MR, Akhlaghi H, Shojaiefard A et al (2008) Sciatic nerve compression resulting from posttraumatic pseudoaneurysm of the superior gluteal artery: a case report and literature review. J Trauma [Feb 12; Epub ahead of print]

12.

Schorn B, Reitmeier F, Falk V et al (1995) True aneurysm of the superior gluteal artery: case report and review of the literature. J Vasc Surg 21:851–854CrossRefPubMed

13.

Keeling AN, McGrath FP, Lee MJ (2008) Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms. CardioVasc Interv Radiol. doi:10.1007/s00270-008-9440-3

14.

Zirinsky K, Markisz JA, Auh YH et al (1988) Computed tomography and magnetic resonance imaging of a superior gluteal artery pseudoaneurysm. J Comput Tomogr 12:75–78CrossRefPubMed

15.

Williams W Jr, Jackson GF Jr, Greene C (1977) Superior gluteal artery aneurysm. J Trauma 17:477–479PubMedCrossRef

16.

Kalapatapu VR, Shelton KR, Ali AT et al (2008) Pseudoaneurysm: a review. Curr Treat Options Cardiovasc Med 10:173–183CrossRefPubMed

17.

Lee D, Legiehn GM, Munk PL (2007) Pseudoaneurysm of the superior gluteal artery following polytrauma. Skel Radiol 36:875–878CrossRef

18.

Kuzuya A, Fujimoto K, Iyomasa S et al (2005) Transluminal coil embolization of an inferior gluteal artery aneurysm by ultrasound-guided direct puncture of the target vessel. Eur J Vasc Endovasc Surg 30:130–132CrossRefPubMed

19.

Grand C, Delcour C, Bank WO et al (1992) Emergency embolization of a mycotic aneurysm of the superior gluteal artery: case report. CardioVasc Interv Radiol 15:117–119CrossRef

20.

Belley G, Gallix BP, Derossis AM et al (1997) Profound hypotension in blunt trauma associated with superior gluteal artery rupture without pelvic fracture. J Trauma 43:703–705CrossRefPubMed

21.

Schellhammer F, Steinhaus D, Cohnen M et al (2008) Minimally invasive therapy of pseudoaneurysms of the trunk: application of thrombin. CardioVasc Interv Radiol 31:535–541CrossRef

22.

Sadiq S, Ibrahim W (2001) Thromboembolism complicating thrombin injection of femoral artery pseudoaneurysm: management with intraarterial thrombolysis. J Vasc Interv Radiol 12:633–636CrossRefPubMed

Title: Traumatic Inferior Gluteal Artery Aneurysm Managed with Emergency Transcatheter Thrombin Injection
Authors: Robert Juszkat
Maciej Zieliński
Mateusz Wykrętowicz
Alina Piekarek
Wacław Majewski
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9588-5

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Traumatic Inferior Gluteal Artery Aneurysm Managed with Emergency Transcatheter Thrombin Injection

Abstract

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Springer Medicine

Abstract

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