Aneurysmaausschaltung am Iliakalarterienstumpf nach Bifurkationsprothesen-Implantation

Zusammenfassung

Die interventionelle Radiologie zeigt bei gefäßmedizinischen Fragestellungen ein Spektrum von Indikationen. Mittels Punktion der A. femoralis dextra in Seldinger-Technik wurde interventionell-radiologisch unter Fluoroskopie- Führung suffizient ein Aneurysma des A.-iliaca-communisdextra- Stumpfes mittels Coil-Embolisation exkludiert. Die Komplikation einer iatrogen induzierten Blutung aus dem Aneurysmahals wurde mit Okklusionsemulsion gestoppt. Interventionell-radiologische Maßnahmen erlauben ein minimal-invasives Herangehen an einst klassische gefäßchirurgische Operationen. Ebenso werden Komplikationen der bildgeführten interventionellen Radiologie beherrschbar.

Summary

Interventional radiology has an increasing spectrum of indications, in particular, for vascular medical problems. By Seldinger’s puncture via the right femoral artery, an aneurysm of the right common iliac artery stump was sufficiently excluded with coil embolization. As a complication, an iatrogenic bleeding at the aneurysmatic neck was effectively stopped after the first interventional step with injection of an occlusion emulsion according to the bleeding site. Image-guided interventional measures in radiology allow a minimal invasive approach in a former classical field of vascular surgery. Furthermore, procedure-related complications can be increasingly controlled.

Schlüsselwörter

Interventionelle Radiologie - A.-iliaca-communis-Aneurysma - Coil-Embolisation - Okklusionsemulsion

Keywords

Interventional radiology - common iliac artery aneurysm - coil embolization - occlusion emulsion

• Literatur

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