Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency Peter Gordon, MB, BCh, BDS,

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Presentation transcript:

Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency Peter Gordon, MB, BCh, BDS, MFDS, Mark E. O'Donnell, Dip.SEM (GB&I), MMedSc, MD, MFSEM(RCSI&RCPI), MFSEM(UK), MRCSEd, Anton Collins, FRCS, FRCR, Keith R. Gardiner, MCh, MD, FRCS, Terry Irwin, DMI, MD, FRCS Journal of Vascular Surgery Volume 52, Issue 2, Pages 467-470 (August 2010) DOI: 10.1016/j.jvs.2010.02.291 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Axial computed tomography (CT) image showing high attenuation point in the region of superior mesenteric artery (SMA) consistent with active extravasation of contrast (white arrow) with adjacent hematoma (black arrow). There is additional free fluid present on the right side with radiological density consistent with blood (F). Journal of Vascular Surgery 2010 52, 467-470DOI: (10.1016/j.jvs.2010.02.291) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Sagittal computed tomography (CT) image demonstrating active contrast extravasation from the largest superior mesenteric artery (SMA) aneurysm (white arrow) with the associated hematoma (black arrow). There is additional free fluid present on the right side with radiological density consistent with blood (F). Journal of Vascular Surgery 2010 52, 467-470DOI: (10.1016/j.jvs.2010.02.291) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Transfemoral mesenteric angiography confirming multiple aneurysms of both the superior mesenteric artery (SMA; white arrows) and inferior mesenteric artery (IMA; black arrow; 5 aneurysms in total). Journal of Vascular Surgery 2010 52, 467-470DOI: (10.1016/j.jvs.2010.02.291) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Transfemoral mesenteric angiography confirming multiple aneurysms of both the superior mesenteric artery (SMA; white arrows) and inferior mesenteric artery (IMA; black arrows; 5 aneurysms in total). Journal of Vascular Surgery 2010 52, 467-470DOI: (10.1016/j.jvs.2010.02.291) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Transfemoral mesenteric angiography confirming embolization of the proximal superior mesenteric artery (SMA) aneurysm with 3 platinum micro-coils (white arrow). Journal of Vascular Surgery 2010 52, 467-470DOI: (10.1016/j.jvs.2010.02.291) Copyright © 2010 Society for Vascular Surgery Terms and Conditions