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Management of aneur...
Management of aneurysm sac hygroma
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- Risberg, Bo, 1941 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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Delle, M. (författare)
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- Lönn, Lars, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för särskilda specialiteter, Avdelningen för radiologi,Institute of Selected Clinical Sciences, Department of Radiology
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- Syk, Ingvar (författare)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups
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(creator_code:org_t)
- International Society of Endovascular Specialists, 2004
- 2004
- Engelska.
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Ingår i: Journal of endovascular therapy. - : International Society of Endovascular Specialists. - 1526-6028 .- 1545-1550. ; 11:2, s. 191-5
- Relaterad länk:
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http://dx.doi.org/10...
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https://gup.ub.gu.se...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- PURPOSE: To document the management strategies and outcome of patients diagnosed with sac hygroma following open or endovascular abdominal aortic aneurysm (AAA) repair. METHODS: Seven men (median 68 years, range 43-79) with previous open (n=3) or endovascular (n=4) AAA repairs and increasing aneurysm diameters documented on spiral computed tomography (CT) were diagnosed with sac hygroma based on the lack of a demonstrable endoleak on CT imaging; the presence of a gelatinous, clear fluid in the sac; and a nonpulsatile sac pressure that was about one third of the systemic blood pressure. The patients were followed at regular intervals with spiral CT and percutaneous CT-guided translumbar intrasac pressure measurements. Surgical interventions were performed for sac diameter increase >5 mm or expansion-related pain. Blood samples and fluid aspirated from the sac were analyzed to detect activation of the coagulation and fibrinolytic systems. RESULTS: Over a median 21.5-month follow-up, open fenestration with resection of the aneurysm wall or open tight wrapping of the wall around the graft in 4 patients did not prevent hygroma reoccurrence, nor did repeated punctures with aspiration of fluid in the other 3 patients. Aneurysm diameters remained unchanged during the observation period. CONCLUSIONS: Only symptomatic hygromas need be treated, but the treatment of choice remains to be established, since puncture, fenestration, or resection of the sac do not seem to be adequate.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Adult
- Aged
- Aortic Aneurysm
- Abdominal/*surgery
- Blood Vessel Prosthesis Implantation
- Humans
- Lymphangioma
- Cystic/physiopathology/radiography/*surgery
- Male
- Middle Aged
- Osmotic Pressure
- Postoperative Complications/etiology/physiopathology/*surgery
- Recurrence
- Retrospective Studies
- Tomography
- X-Ray Computed
- abdominal aortic aneurysm
- enclovascular repair
- open repair
- stent-graft
- aneurysm expansion
- hygroma
- polytetrafluoroethylene
- graft
- Dacron graft
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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