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Pseudoaneurysm of gastroduodenal artery following radical gastrectomy for gastric carcinoma patients

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World Journal of Gastroenterology 2003年第12期9卷 2878-2879页

作者： Dong YiKim Jae KyoonJoo SeongYeobRyu Young JinKim Shin KonKim Yong-Yeon Jung Division of Gatroenterologic Surgery Department of SurgeryChonnam National University Medical SchoolGwangjuKorea Department of Radiology Chonnam National University Medical SchoolGwangjuKorea

We report a rare case of postoperative pseudoaneurysm of the gastroduodenal artery following radical *** trauma to the gastroduodenal artery during regional lymphadenectomy was considered as the cause of the postoperative pseudoaneurysm. The pseudoaneurysm was successfully managed by ligating the bleeding vessel. We should consider the possibility of pseudoaneurysm formation in a patient with gastrointestinal bleeding in the postoperative period following radical gastrectomy with regional lymph node and perivascular lymphatic dissection.

关键词： Aged aneurysm, false Duodenum Fatal Outcome Gastrectomy Humans Male Mesenteric Artery, Superior Stomach Stomach Neoplasms Time Factors

Study on intraluminal embolization with microcoils treating traumatic pseudoaneurysms in common carotid artery in rabbits

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Chinese Journal of Traumatology 2004年第5期7卷 266-270页

作者：刘云松马廉亭吴佐泉 Department of Emergency Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010 China Department of Neurosurgery Wuhan General Hospital of Guangzhou Military Command Wuhan 430070 China

Objective: To evaluate the long-term effect of endovascular occlusion with microcoils on traumatic pseudoaneurysms (TPAs) in the common carotid artery in ***: TPAs in the right common carotid artery were surgically made in 16 rabbits. At 3-4 weeks after operation, the survived 12 models were randomly divided into a control group (n=3) with no treatment and an experimental group (n=9), in which TPAs were intraluminally embolized with microcoils and corresponding therapy was given. Three months after embolization, the TPAs were examined with digital subtraction angiography and pathology. Results: The 3 rabbits in the control group all died of rupture of TPA. Among the 9 TPAs occluded with microcoils, 4 were completely occluded, 4 were partially occluded, and 1 was excluded due to the microcoils migrating into the parent artery. Three months after embolization, the 4 TPAs which were completely occluded remained obliterated as determined by digital subtraction angiographic findings. The parent artery remained unobstructed and the structure of the TPAs were replaced by a mass of scar tissues. The 4 TPAs which were partially occluded remained unruptured and the microcoils were ***: The lumen in TPA can be completely occluded by microcoils and the parent artery is unblocked. Partial occlusion of the lumen can also prevent the rupture of TPA.

关键词： Embolism Carotid artery, common aneurysm, false Rabbits Microcoils

Endovascular repair for a huge vertebral artery pseudoaneurysm caused by Behcet's disease

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Chinese Medical Journal 2006年第5期119卷 435-437页

作者： DONG Zhi-hui FU Wei-guo GUO Da-qiao XU Xin CHEN Bin JIANG Jun-hao YANG Jue SHI Zheng-yu WANG Yu-qi Division of Vascular Surgery Zhongshan Hospital Fudan University Shanghai 200032 China

Behcet＇s disease （BD）, a multisystem chronic autoimmune process of unknown etiology, usually leads to arterial impairment. Isolated case reports have described BD-related arterial dissections, pseudoaneurysms or aneurysms. Recently, we successfully treated a huge vertebral artery pseudoaneurysm （VAPA） in a patient with BD by stent-grafting with preservation of the affected vertebral artery.

关键词： vertebral artery aneurysm, false Behcet syndrome stents

Balloon catheterization for hemostasis during the operation of ruptured femoral artery pseudoaneurysm

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Chinese Medical Journal 2007年第21期120卷 1943-1944页

作者： SHI De-bing FU Wei-guo WANG Yu-qi GUO Da-qiao CHEN Bin SHI Zhen-yu Department of Vascular Surgery Institute of Vascular Surgery Zhongshan Hospital Fudan University Shanghai 200032 China

Pseudoaneurysms of the femoral artery usually progress and can rupture if left untreated. Therefore,intraoperative hemostasis is of the paramount importance in the management of these emergent situations, especially for the patients with poor general health. We present an efficient method of stopping massive bleeding occurring in this patient by balloon catheter.

关键词： drug abuse aneurysm, false infection balloon catheterization

Acute femoral artery pseudoaneurysm due to lesser trochanter fragment： an unusual complication of an intertrochanteric fracture

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Chinese Journal of Traumatology 2013年第5期16卷 301-303页

作者： Gaurav Sharma Ravijot Singh Atin Kumar Vijay Sharma Kamran Farooque Department of Orthopedics Jai Prakash Narayan ApexTrauma Centre (JPNATC) All India Institute of Medical Sci-ences (AIIMS) New Delhi 110029 India Department of Radiology JPNATC AIIMS New Delhi110029 India

false aneurysm of the femoral artery is a rare complication of intertrochanteric fracture. Most of these situations are due to iatrogenic trauma or the trauma itself and are rarely caused by dislocated bone fragments. Here we report a case of a 72-year-old man who presented acutely with a pseudoaneurysm of the superficial femoral artery from the spike of a lesser trochanter fragment. Percutaneous endovascular treatment of the pseudoaneurysm with a covered stent was undertaken on an urgent basis. Five days later, the patient was operated upon and the lesser trochanter fragment was excised through an anterior incision and the intertrochanteric fracture was fixed using dynamic hip screws. The fracture was united at 10 weeks. At one-year＇s follow-up, there were no graft-related complications. This case illustrates that an intertrochanteric fracture with a dis- placed lesser trochanter fragment can present acutely with bleeding and a pseudoaneurysm of the femoral artery.

关键词： aneurysm, false Hip fractures Endovascular procedures

latrogenic aortic pseudoaneurysm following anterior tho- racic spine surgery masquerading as chronic infection

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Chinese Journal of Traumatology 2013年第6期16卷 368-370页

作者： Vijay Goni A jay Bahl Nirmal Raj Gopinathan Vibhu Krishnan Rajesh Kumar Department of Orthopaedics Postgraduate Institute ofMedical Research and Education Chandigarh India

Late vascular complications involving aorta are rare but devastating adversities following anterior thoracic spine operations are *** current article describes our experience with one such patient who had an iatrogenic pseudoaneurysm of the thoracic aorta,mimicking *** patient was treated successfully following concomitant efforts by multidisciplinary experts with *** wish to highlight upon the significance of recognizing the possible sinister consequences of a dangerously prominent spinal implant and the role of a suspicious surgeon in identifying these menacing complications at the right time.

关键词： Fractures, bone Aorta, thoracic aneurysm, false latrogenic disease

Pseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture

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Chinese Journal of Traumatology 2013年第4期16卷 233-236页

作者： Shailendra Singh Sumit Arora Ankit Thora Ram Mohan, Sumit Sural Anti Dhal Maulana Azad Medical College & Associated Lok NayakHospital New Delhi India

Dynamic hip screw fixation is a com- monly performed procedure for internal fixation of intertro- chanteric femoral fractures. Arterial injury following the operative fixation is a rare but serious event. We present a patient who developed pseudoaneurysm ofprofunda femo- ris artery after internal fixation of intertrochanteric fracture with a dynamic hip screw. The diagnosis was confirmed by angiographic study and it was successfully treated by coil embolization.

关键词： Hip fractures Bone screws Arteries aneurysm, falseHip fractures Bone screws Arteries aneurysm, false

Misdiagnosis and management of iatrogenic pseudoaneurysm of vertebral artery after Harms tech- nique of C1-C2 fixation

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Chinese Journal of Traumatology 2012年第6期15卷 355-359页

作者： MIN Li SONG Yue-ming XIE Xiao-dong WANG Chao-hua LIU Li-min Department of Orthopaedics West China HospitalSichuan UniversityChengdu 610041China Department of Neurosurgery West China HospitalSichuan UniversityChengdu 610041China

Harms technique of CI-C2 fixation for atlantoaxial complex becomes more popular due to good fusion rate and low vertebral artery injury （VAI） rate. But considering the unique and variable anatomy of atlanto- axial complex, iatrogenic VAI will result in catastrophic con- sequences and provides particular surgical challenges for surgeons. To our knowledge, comparing with iatrogenic VAI in the screw hole, iatrogenic VAI in the ＂open space＂ is much rarer during the Harms technique of C1-C2 fixation. In this article, we present a case of iatrogenic vertebral artery pseudoaneurysm after Harms technique of posterior C1-C2 fixation. This case of iatrogenic VAI effectively treated by endovascular coil occlusion and external local compressionwas initially misdiagnosed as VAI by pedicle screw perforation. It can be concluded that intraoperative or post- operative computed angiography is very helpful to diag- nose the exact site of VAI and the combination of endovascular coil occlusion as well as external local com- pression can further prevent bleeding and abnormal verte- bral artery flow in the pseudoaneurysm. However, patients treated require further follow-up to confirm that there is no recurrence of the Dseudoaneurysm.

关键词： Vertebral artery aneurysm, false Endovascular procedures