Repair of traumatic abdominal aortic pseudoaneurysm using N-butyl-2-cyano-acrylate embolization.
Embolization using N-butyl-2-cyano-acrylate (NBCA) has been highly regarded for treating pseudoaneurysm, arteriovenous malformation, and hemorrhage of the visceral arteries. We report the case of a patient who fell from a cliff and sustained hemorrhagic shock with blunt abdominal aortic rupture and who underwent embolization using NBCA. This treatment achieved immediate hemostasis and stabilization of vital signs. Although the long-term durability of NBCA is unknown, it appears that certain types of acute aortic hemorrhage with narrow-necked pseudoaneurysm can be controlled by embolization using NBCA.
Kawai
Nobuyuki
N
Department of Radiology, Wakayama Medical University, 811-1 Kimiidera, Wakayamashi, Wakayama 641-8510, Japan.
Sato
Morio
M
Tanihata
Hirohiko
H
Sahara
Shinya
S
Takasaka
Isao
I
Minamiguchi
Hiroki
H
Nakai
Motoki
M
D000007:Abdominal Injuries / Q000175:diagnosis / Q000628:therapy; D000058:Accidental Falls; D000179:Acrylates / Q000494:pharmacology*; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries*; D001027:Aortography / Q000379:methods; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D011856:Radiographic Image Enhancement; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*
D000179:Acrylates; D003287:Contrast Media; C032490:n-butyl acrylate