Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · May 2006
Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta.
Placenta accreta/percreta is a leading cause of third trimester hemorrhage and postpartum maternal death. The current treatment for third trimester hemorrhage due to placenta accreta/percreta is cesarean hysterectomy, which may be complicated by large volume blood loss. ⋯ Our findings do not support the contention that in patients with placenta accreta/percreta, prophylactic temporary balloon occlusion and embolization prior to hysterectomy diminishes intraoperative blood loss.
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Cardiovasc Intervent Radiol · May 2006
Case ReportsRuptured left gastric artery aneurysm: unique presentation with hemothorax and hemomediastinum.
Although splanchnic artery aneurysms are uncommon and remain mostly asymptomatic, they are associated with a high mortality rate when they rupture. We discuss the case of a 66-year-old woman who had successful embolization of a left gastric artery aneurysm after presenting with acute chest pain and the unusual computed tomography findings of hemothorax and hemomediastinum. To our knowledge, only one other similar case has been published in the literature.
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Cardiovasc Intervent Radiol · Mar 2006
A new approach: regional nerve blockade for angioplasty of the lower limb.
An audit study investigated the pilot use of regional nerve block analgesia (as an alternative to sedative/opiate, general or central neuraxial anesthesia) performed by radiologists with the assistance of imaging techniques during complex prolonged angiography. ⋯ The successful use of peripheral nerve blocks was safe and effective as an alternative to sedative/opiate, epidural or general anesthesia in patients undergoing complex angiography and has optimized the use of radiological and anesthetic department resources. This has permitted the frequent radiological treatment of patients with limb-threatening ischemia and reduced delays caused by the difficulty in enlisting the help of anesthetists, often at short notice, from the busy operating lists.
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Cardiovasc Intervent Radiol · Mar 2006
Case ReportsEndovascular repair of a traumatic axillary pseudoaneurysm following anterior shoulder dislocation.
Pseudoaneurysms due to musculoskeletal trauma are rare and comprise less than 2% of all pseudoaneurysms. We report a case of axillary pseudoaneurysm following anterior dislocation of the shoulder. The patient was successfully treated by endovascular intervention.