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Endovascular Treatment of a Giant Superior Mesenteric Artery Pseudoaneurysm Using a Nitinol Stent-Graft

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Abstract

A 68-year-old woman presenting with gastrointestinal bleeding (hematocrit 19.3%) and in a critical clinical condition (American Society of Anesthesiologists grade 4) from a giant superior mesenteric artery pseudoaneurysm (196.0 × 131.4 mm) underwent emergency endovascular treatment. The arterial tear supplying the pseudoaneurysm was excluded using a 5.0 mm diameter and 31 mm long monorail expanded polytetrafluoroethylene (ePTFE)-covered self-expanding nitinol stent. Within 6 days of the procedure, a gradual increase in hemoglobin levels and a prompt improvement in the clinical condition were observed. Multislice CT angiograms performed immediately, 5 days, 30 days and 3 months after the procedure confirmed the complete exclusion of the pseudoaneurysm.

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Authors and Affiliations

  1. Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy

    Roberto Gandini, Vincenzo Pipitone, Daniel Konda, Gianluca Pendenza, Alessio Spinelli, Matteo Stefanini & Giovanni Simonetti

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  1. Roberto Gandini
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  2. Vincenzo Pipitone
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  3. Daniel Konda
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  4. Gianluca Pendenza
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  5. Alessio Spinelli
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  6. Matteo Stefanini
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  7. Giovanni Simonetti
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Correspondence to Daniel Konda.

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Gandini, R., Pipitone, V., Konda, D. et al. Endovascular Treatment of a Giant Superior Mesenteric Artery Pseudoaneurysm Using a Nitinol Stent-Graft. Cardiovasc Intervent Radiol 28, 102–106 (2005). https://doi.org/10.1007/s00270-004-0007-7

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  • DOI: https://doi.org/10.1007/s00270-004-0007-7

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