Open AccessGenuine splenic artery aneurysm rupture treated by N ‐butyl cyanoacrylate and metallic coils under resuscitative endovascular balloon occlusion of the aorta
Author(s) -
Aoki Makoto,
Hagiwara Shuichi,
Miyazaki Masaya,
Kaneko Minoru,
Murata Masato,
Nakajima Jun,
Ohyama Yoshio,
Tamura Jun'ichi,
Tsushima Yoshito,
Oshima Kiyohiro
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.168
Subject(s) - medicine , embolization , occlusion , aorta , cyanoacrylate , aneurysm , surgery , anesthesia , cardiology , chemistry , adhesive , organic chemistry , layer (electronics)
Case A 66 year‐old woman who presented with sudden lower abdominal pain was transferred to our emergency room. Vital signs were stable on arrival at the hospital, but immediately became unstable. Systolic/diastolic blood pressure and heart rate were 66/33 mmHg and 70 b.p.m., respectively. Computed tomography scanning showed splenic artery aneurysm rupture and extravasation. The patient was treated non‐operatively and definitively by endovascular therapy comprising resuscitative endovascular occlusion of the aorta for hemodynamic control, N ‐butyl cyanoacrylate, and metallic coils as an embolization material. Outcome On admission day 3, she was enrolled in another department and admission day 54, she was discharged. Conclusion Although resuscitative endovascular occlusion of the aorta and N ‐butyl cyanoacrylate is known to be effective, the use of resuscitative endovascular occlusion of the aorta with transcatheter arterial embolization and N ‐butyl cyanoacrylate for non‐traumatic bleeding has not previously been reported. By combining and adapting these devices, their applications in endovascular management may be increased.