title: Endovascular Coil Embolization in the Treatment of a Rare Case of Post-Traumatic Abdominal Aortic Pseudoaneurysms: Brief Report and Review of Literature.
abstract: Traumatic aortic injury, a consequence of penetrating injuries or blunt trauma, is a life threatening condition which requires prompt diagnosis and management. Most abdominal aortic injuries have been repaired via an open surgical approach with endovascular stent graft as an alternative. Traumatic pseudoaneurysms (PSA) of the abdominal aorta are uncommon, and they are managed similar to other abdominal aortic injuries. However, the presence of a perianeurysmal hematoma and the potential risk of an associated concomitant bowel communication could make surgery and endovascular stent graft placement risky. In such patients, coil embolization could be a valued option. In this article, we present a case in which traumatic PSAs are repaired using coil embolization with technical and clinical success. Endovascular coil embolization could be an alternative approach for PSAs that cannot be treated by stent grafting or open surgical repair, in the appropriate anatomy and by using the right coil material and technique.
authors.affiliation: Department of Interventional Radiology and Surgery, Jackson Memorial Hospital/University of Miami Hospital, Miami, FL.
authors.forename: Jason
authors.initials: J
authors.lastname: Salsamendi
authors.affiliation: Department of Interventional Radiology, Jackson Memorial Hospital/University of Miami Hospital, Miami, FL. Electronic address: keithjppereira@gmail.com.
authors.forename: Keith
authors.initials: K
authors.lastname: Pereira
authors.affiliation: Department of Surgery, Jackson Memorial Hospital/University of Miami Hospital, Miami, FL.
authors.forename: Jorge
authors.initials: J
authors.lastname: Rey
authors.affiliation: Department of Interventional Radiology, Jackson Memorial Hospital/University of Miami Hospital, Miami, FL.
authors.forename: Govindarajan
authors.initials: G
authors.lastname: Narayanan
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D008875:Middle Aged; D014948:Wounds, Gunshot / Q000150:complications* / Q000175:diagnosis / Q000628:therapy