Endovascular treatment of the gluteal artery pseudoaneurysm: a case report

Q4 Medicine

Patologiya krovoobrashcheniya i kardiokhirurgiya Pub Date : 2022-09-30 DOI:10.21688/1681-3472-2022-3-103-108

N. Susanin, M. Chernyavskiy, A. Vanyurkin, A. Vlasovets, K.P. Moiseev

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Abstract

False aneurysms, also known as pseudoaneurysms, most commonly occur when the main arteries are injured in various ways. False aneurysms of smaller arteries located in the hard-to-reach areas are less common. These include aneurysms of the gluteal arteries. This disorder presents a serious problem due to both difficulties in diagnosis and in determining the tactics of surgical treatment. This article presents a case of successfully treated pseudoaneurysm of the gluteal artery in an elderly patient with underlying severe comorbidities. A 73-year-old patient was admitted to the clinic of vascular surgery with complaints of discomfort and pulsating sensation in the right gluteal region during exercise. Ultrasound examination and multislice computed tomography revealed a false aneurysm in the branch of the internal iliac artery measuring 57 × 36 × 46 mm, which was an indication for surgical treatment. The endovascular treatment scoped implantation of the occluder in the superior gluteal artery. The perioperative period was uneventful. According to the scheduled postoperative examination, the patient's condition was satisfactory. Of practical and clinical interest is the fact that the treatment of this disorder is a technically complex and time-consuming process. In this case, the endovascular treatment of aneurysm with an occluder resulted in an adequate therapeutic effect in the patient with underlying severe comorbidities and reduced the risk of perioperative complications. The patient returned to a normal life within a short time. Received 12 February 2022. Revised 3 April 2022. Accepted 4 April 2022. Informed consent: The patient’s informed consent to use the records for medical purposes is obtained. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest. Contribution of the authorsLiterature review: K.P. Moiseev, A.A. VlasovetsDrafting the article: N.V. Susanin, A.G. VanyurkinCritical revision of the article: N.V. SusaninSurgical treatment: M.A. Chernyavskiy, N.V. SusaninFinal approval of the version to be published: N.V. Susanin, M.A. Chernyavskiy, A.G. Vanyurkin, A.A. Vlasovets, K.P. Moiseev

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血管内治疗臀动脉假性动脉瘤1例

假性动脉瘤，也称为假性动脉瘤，最常发生在主动脉以各种方式受伤时。位于难以到达区域的小动脉的假动脉瘤不太常见。包括臀动脉的动脉瘤。由于诊断和确定手术治疗策略的困难，这种疾病提出了一个严重的问题。本文提出一例成功治疗的臀动脉假性动脉瘤在一个老年病人的潜在严重的合并症。病人73岁，因运动时右臀区不适及搏动感而入血管外科门诊。超声及多层螺旋ct示髂内动脉分支假动脉瘤，尺寸为57 × 36 × 46 mm，需手术治疗。血管内治疗的范围是在臀上动脉内植入闭塞器。围手术期平安无事。根据术后安排的检查，患者的情况令人满意。实际和临床的兴趣是，这种疾病的治疗是一个技术上复杂和耗时的过程。在本例中，血管内动脉瘤闭塞治疗对伴有严重合并症的患者产生了足够的治疗效果，并降低了围手术期并发症的风险。病人很快就恢复了正常生活。收到2022年2月12日。2022年4月3日修订。接受于2022年4月4日。知情同意:已取得患者知情同意将病历用于医疗目的。经费来源:本研究未获得赞助。利益冲突:作者声明无利益冲突。作者贡献文献综述:K.P. Moiseev, A.A. vlasovet文章起草:N.V. Susanin, A.G. Vanyurkin文章关键性修改:N.V. susany手术治疗:M.A. Chernyavskiy, N.V. susany最终审定版本:N.V. Susanin, M.A. Chernyavskiy, A.G. Vanyurkin, A.A. Vlasovets, K.P. Moiseev

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