Endovascular treatment of a ruptured lumbar artery aneurysm: case report and review of the literature.
Lumbar artery aneurysms are uncommon lesions that usually present as pseudoaneurysms secondary to vessel injury. Despite their small size and retroperitoneal location, these lesions are potentially lethal once they rupture. This report describes a ruptured lumbar artery aneurysm which was successfully treated in a minimally invasive fashion. The diagnosis was suggested by computed tomography scan and confirmed with angiography. Successful treatment consisted of placing intravascular metallic coils into the lumbar artery. The literature contains only seven previous reports of ruptured lumbar artery aneurysms and these were managed either operatively or via an endovascular approach. Based upon the outcome of all reported cases, we believe that coil embolization of lumbar artery aneurysms following diagnostic angiography is an appropriate and effective mean of treating these lesions.
Marty
B
B
Division of Vascular Surgery, Montefiore Medical Center, New York, New York 10467, USA.
Sanchez
L A
LA
Wain
R A
RA
Ohki
T
T
Marin
M L
ML
Bakal
C
C
Veith
F J
FJ
D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D001158:Arteries / Q000601:surgery; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006801:Humans; D008159:Lumbar Vertebrae / Q000098:blood supply*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome