title: Emergency Embolization of a Ruptured Aneurysm of the Internal Iliac Artery by Direct Ultrasound-Guided Puncture: Report of a Case.
abstract: We report the emergency embolization of a ruptured aneurysm of the internal iliac artery in a patient at high surgical risk. Admission computed tomography scan showed that the ostium of the aneurysmal internal iliac artery was covered by a covered stent. In this patient, we chose to carry out an embolization of the aneurysm and its efferent arteries by direct puncture of the aneurysmal sac using an antero-external abdominal approach under ultrasound guidance. Short-term results were favorable and we consider that this technique is one of the therapeutic options to discuss in such situation.
authors.affiliation: Department of Vascular Surgery, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Michael
authors.initials: M
authors.lastname: Vaillant
authors.affiliation: Department of Vascular Surgery, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France. Electronic address: michel.bartoli@ap-hm.fr.
authors.forename: Michel Alain
authors.initials: MA
authors.lastname: Bartoli
authors.affiliation: Department of Vascular Surgery, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Raphaël
authors.initials: R
authors.lastname: Soler
authors.affiliation: Department of Radiology, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Pierre-Antoine
authors.initials: PA
authors.lastname: Barral
authors.affiliation: Department of Radiology, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Alexis
authors.initials: A
authors.lastname: Jacquier
authors.affiliation: Department of Vascular Surgery, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Sarlon Bartoli
authors.affiliation: Department of Vascular Surgery, Hôpital de La Timone, AP-HM, Aix-Marseille University, Marseille, France.
authors.forename: Pierre-Edouard
authors.initials: PE
authors.lastname: Magnan
mesh_terms: D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004630:Emergencies; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000628:therapy*; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D011677:Punctures; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D014014:Tissue Adhesives