Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries

Objective This study was performed to evaluate the safety and efficacy of endovascular stenting and embolization for the management of radiation-induced peripheral arterial pseudoaneurysms. Methods Twelve consecutive patients with radiation-induced peripheral arterial pseudoaneurysms (diameter of 10...

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Main Authors: Hai-yang Chang, Zhen-guo Liu, Yu-Liang Li, Bin Liu, Wu-Jie Wang, Wei Wang, Yong-Zheng Wang
Format: Article
Language:English
Published: SAGE Publishing 2021-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520984933
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author Hai-yang Chang
Zhen-guo Liu
Yu-Liang Li
Bin Liu
Wu-Jie Wang
Wei Wang
Yong-Zheng Wang
author_facet Hai-yang Chang
Zhen-guo Liu
Yu-Liang Li
Bin Liu
Wu-Jie Wang
Wei Wang
Yong-Zheng Wang
author_sort Hai-yang Chang
collection DOAJ
description Objective This study was performed to evaluate the safety and efficacy of endovascular stenting and embolization for the management of radiation-induced peripheral arterial pseudoaneurysms. Methods Twelve consecutive patients with radiation-induced peripheral arterial pseudoaneurysms (diameter of 10–30 mm and mean size of 20.42 mm) were admitted to our hospital from 1 January 2015 to 31 October 2019. The patients’ baseline characteristics, perioperative parameters, device characteristics, and curative effects were systematically recorded and analyzed. Results The 12 patients comprised 3 men and 9 women with a mean age of 62.90 ± 13.97 years. The iliac artery was the most commonly involved artery, followed by the subclavian artery. In all patients, the pseudoaneurysms were detected by enhanced computed tomography. Twelve covered stents were deployed (7 or 8 mm in diameter and 50 mm in length). Additional coil embolization was performed in three patients (Patients 8, 9, and 10). The primary and secondary technical success rate was 91.7% and 100%, respectively. Apart from one death caused by rebleeding, no patients developed rebleeding during follow-up. Conclusion Endovascular stenting and coil embolization are feasible and effective for the management of radiation-induced peripheral arterial pseudoaneurysms in highly selected patients.
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spelling doaj.art-cf9e3dfb84204b128aebb10484ba4c9a2022-12-21T19:07:47ZengSAGE PublishingJournal of International Medical Research1473-23002021-04-014910.1177/0300060520984933Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteriesHai-yang ChangZhen-guo LiuYu-Liang LiBin LiuWu-Jie WangWei WangYong-Zheng WangObjective This study was performed to evaluate the safety and efficacy of endovascular stenting and embolization for the management of radiation-induced peripheral arterial pseudoaneurysms. Methods Twelve consecutive patients with radiation-induced peripheral arterial pseudoaneurysms (diameter of 10–30 mm and mean size of 20.42 mm) were admitted to our hospital from 1 January 2015 to 31 October 2019. The patients’ baseline characteristics, perioperative parameters, device characteristics, and curative effects were systematically recorded and analyzed. Results The 12 patients comprised 3 men and 9 women with a mean age of 62.90 ± 13.97 years. The iliac artery was the most commonly involved artery, followed by the subclavian artery. In all patients, the pseudoaneurysms were detected by enhanced computed tomography. Twelve covered stents were deployed (7 or 8 mm in diameter and 50 mm in length). Additional coil embolization was performed in three patients (Patients 8, 9, and 10). The primary and secondary technical success rate was 91.7% and 100%, respectively. Apart from one death caused by rebleeding, no patients developed rebleeding during follow-up. Conclusion Endovascular stenting and coil embolization are feasible and effective for the management of radiation-induced peripheral arterial pseudoaneurysms in highly selected patients.https://doi.org/10.1177/0300060520984933
spellingShingle Hai-yang Chang
Zhen-guo Liu
Yu-Liang Li
Bin Liu
Wu-Jie Wang
Wei Wang
Yong-Zheng Wang
Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
Journal of International Medical Research
title Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
title_full Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
title_fullStr Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
title_full_unstemmed Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
title_short Endovascular stenting and coil embolization for management of radiation-induced pseudoaneurysms of the peripheral arteries
title_sort endovascular stenting and coil embolization for management of radiation induced pseudoaneurysms of the peripheral arteries
url https://doi.org/10.1177/0300060520984933
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