Recanalization after Successful Occlusion by Transcatheter Arterial Embolization with N-Butyl Cyanoacrylate for Traumatic Splenic Artery Injury
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ID | 35002 |
本文ファイル | |
著者 |
Ishikawa, Masaki
Kakizawa, Hideaki
Yamasaki, Wataru
Date, Syuji
Hieda, Masashi
Kajiwara, Kenji
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キーワード | N-butyl cyanoacrylate
Recanalization
Splenic artery injury
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NDC |
医学
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抄録(英) | A 70-year-old male with advanced pancreatic cancer went into shock after sustaining a traumatic abdominal injury. Computed tomography (CT) showed a hematoma with extravasation around the pancreas and hemorrhagic ascites. After direct catheterization failed due to angiospasm, the ruptured splenic artery was successfully occluded by transcatheter arterial embolization (TAE) using an N-butyl cyanoacrylate (NBCA)-lipiodol mixture and the patient recovered from shock without complications. A follow-up CT obtained 20 days later showed a recurrent splenic artery pseudoaneurysm without extravasation. A repeat angiogram demonstrated recanalization of the splenic artery and pseudoaneurysm via antegrade. We embolized the recanalized pseudoaneurysm using metallic coils for isolation. Our experience indicates that adequate concentration and volume of the NBCA-lipiodol mixture should be considered depending on the vascular spasm in a patient with hypovolemic shock.
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掲載誌名 |
Hiroshima Journal of Medical Sciences
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巻 | 60巻
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号 | 4号
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開始ページ | 87
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終了ページ | 90
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出版年月日 | 2011-12
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出版者 | Hiroshima University Medical Press
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ISSN | 0018-2052
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NCID | |
言語 |
英語
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NII資源タイプ |
紀要論文
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広大資料タイプ |
学内刊行物(紀要等)
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DCMIタイプ | text
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フォーマット | application/pdf
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著者版フラグ | publisher
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権利情報 | (c) Hiroshima University Medical Press.
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部局名 |
医歯薬学総合研究科
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他の一覧 |