The diagnostic value of CT angiography in traumatic pelvic artery pseudoaneurysm and dissecting aneurysm_West China Medical Journal

Authors：

FU Quanshui ,  YANG Guoqing , HU Na , CHEN Hong

Department of Radiology, Suining Central Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding?author：

YANG Guoqing, Email: yangguoqingygq@aliyun.com

Keywords：

Pseudoaneurysm; Dissecting aneurysm; Pelvic artery; Angiography; Digital substraction angiography

DOI：

10.7507/1002-0179.201604266

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the clinical application value of CT angiography (CTA) in traumatic pelvic artery pseudoaneurysm and dissecting aneurysm. Methods A total of 8 patients including 7 with traumatic pelvic artery pseudoaneurysm and 1 with dissecting aneurysm diagnosed by CTA in Suining Central Hospital from August 2012 to January 2016 were enrolled in this study, in whom 6 patients with traumatic pseudoaneurysm treated with embolotherapy were confirmed by digital subtraction angiography. Image post-processing techniques of CTA including curve planar reformation, multiplanar reconstruction and volume rendering were used. Results In the seven patients diagnosed as solitary traumatic pelvic artery pseudoaneurysm by CTA, 3 had superior gluteal artery pseudoaneurysm, 2 had inferior gluteal artery pseudoaneurysm, and 2 had external iliac artery pseudoaneurysm. The 7 pseudoaneurysms were pouch-shaped with the short diameters ranged from 9 to 64 mm and the long diameters ranged from 11 to 78 mm. Six locations of artery laceration were displayed clearly, thereinto 1 case was combined with arteriovenous fistula. In addition, a vessel occlusion caused by the limitation of right external iliac artery dissecting aneurysm and the thrombosis in left side of the external iliac artery was found in 1 case. Conclusions As a non-invasive diagnostic technique, CTA can accurately diagnose traumatic pelvic artery pseudoaneurysm and dissecting aneurysm, clearly display the location relationship of pseudoaneurysm and its parent artery, and find whether arteriovenous fistula exists. Beyond that, the true and false lumen of dissecting aneurysm can be precisely identified by this technique. CTA can provide important image information for formulating individual treatment plan.

Citation： FU Quanshui, YANG Guoqing, HU Na, CHEN Hong. The diagnostic value of CT angiography in traumatic pelvic artery pseudoaneurysm and dissecting aneurysm. West China Medical Journal, 2017, 32(10): 1551-1554. doi: 10.7507/1002-0179.201604266 Copy

1.	Perry MO. Complications of missed arterial injuries. J Vasc Surg, 1993, 17(2): 399-407.
2.	Dongola NA, Giles JA, Guy RL. Embolisation of a post-traumatic superior gluteal arteryaneurysm: case report. East Afr Med J, 2004, 81(8): 433-435.
3.	金凱, 董飛, 閔捷, 等. 刀刺傷后 20 年遲發性臀動脈假性動脈瘤一例. 中華創傷雜志, 2015, 31(2): 191-192.
4.	王吉東, 方挺松, 彭加友, 等. 64 排螺旋 CT 血管造影技術在下肢動脈損傷中的應用. 海南醫學, 2014, 25(1): 44-46.
5.	龍晚生, 胡茂清, 黃列彬, 等. 腹盆腔動靜脈瘺的 MSCT 診斷. 中國 CT 和 MRI 雜志, 2014, 12(1): 98-100.
6.	易峰濤, 魏崇健, 宋華志, 等. 外傷性假性動脈瘤與動靜脈瘺的影像學研究及介入治療. 實用醫學雜志, 2010, 26(21): 3967-3969.
7.	張建廷, 郗二平, 陳剛, 等. 外傷性假性動脈瘤與動靜脈瘺的血管造影表現及治療. 實用放射學雜志, 2012, 28(2): 280-282.
8.	厲蘭, 資曉宏. 外傷致頸內動脈夾層動脈瘤一例. 醫學臨床研究, 2012, 29(3): 591-592, 封3.
9.	Aladham F, Sundaram B, Williams DM, et al. Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. J Comput Assist Tomogr, 2010, 34(3): 388-394.
10.	Alkadhi H, Wildermuth S, Desbiolles L, et al. Vascular emergencies of the thorax after bluntand iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics, 2004, 24(5): 1239-1255.
11.	Litmanovich D, Bankier AA, Cantin L, et al. CT and MRI in diseases of the aorta. AJR Am J Roentgenol, 2009, 193(4): 928-940.
12.	潘旭東, 孫立忠, 鄭軍. 主動脈夾層易感因素和細胞外基質關系的研究進展. 中國綜合臨床, 2006, 22(10): 955-957.
13.	薛凌, 羅建方, 劉媛, 等. 動脈粥樣硬化危險因素在急性主動脈夾層患者中的分布. 中國動脈硬化雜志, 2008, 16(11): 899-901.
14.	張茂, 徐善祥, 干建新, 等. 鈍性外傷性主動脈夾層救治 1 例報道. 中國急救醫學, 2005, 25(5): 369.
15.	張源明, 周立英, 何秉賢, 等. 主動脈夾層 106 例的臨床分析. 中華心血管病雜志, 2005, 33(6): 536-538.
16.	趙克洪, 沈江明. 高齡老年患者頸動脈粥樣硬化與心血管危險因素及缺血性腦卒中的相關規律. 中國組織工程研究, 2004, 8(13): 2420-2421.

1. Perry MO. Complications of missed arterial injuries. J Vasc Surg, 1993, 17(2): 399-407.
2. Dongola NA, Giles JA, Guy RL. Embolisation of a post-traumatic superior gluteal arteryaneurysm: case report. East Afr Med J, 2004, 81(8): 433-435.
3. 金凱, 董飛, 閔捷, 等. 刀刺傷后 20 年遲發性臀動脈假性動脈瘤一例. 中華創傷雜志, 2015, 31(2): 191-192.
4. 王吉東, 方挺松, 彭加友, 等. 64 排螺旋 CT 血管造影技術在下肢動脈損傷中的應用. 海南醫學, 2014, 25(1): 44-46.
5. 龍晚生, 胡茂清, 黃列彬, 等. 腹盆腔動靜脈瘺的 MSCT 診斷. 中國 CT 和 MRI 雜志, 2014, 12(1): 98-100.
6. 易峰濤, 魏崇健, 宋華志, 等. 外傷性假性動脈瘤與動靜脈瘺的影像學研究及介入治療. 實用醫學雜志, 2010, 26(21): 3967-3969.
7. 張建廷, 郗二平, 陳剛, 等. 外傷性假性動脈瘤與動靜脈瘺的血管造影表現及治療. 實用放射學雜志, 2012, 28(2): 280-282.
8. 厲蘭, 資曉宏. 外傷致頸內動脈夾層動脈瘤一例. 醫學臨床研究, 2012, 29(3): 591-592, 封3.
9. Aladham F, Sundaram B, Williams DM, et al. Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. J Comput Assist Tomogr, 2010, 34(3): 388-394.
10. Alkadhi H, Wildermuth S, Desbiolles L, et al. Vascular emergencies of the thorax after bluntand iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics, 2004, 24(5): 1239-1255.
11. Litmanovich D, Bankier AA, Cantin L, et al. CT and MRI in diseases of the aorta. AJR Am J Roentgenol, 2009, 193(4): 928-940.
12. 潘旭東, 孫立忠, 鄭軍. 主動脈夾層易感因素和細胞外基質關系的研究進展. 中國綜合臨床, 2006, 22(10): 955-957.
13. 薛凌, 羅建方, 劉媛, 等. 動脈粥樣硬化危險因素在急性主動脈夾層患者中的分布. 中國動脈硬化雜志, 2008, 16(11): 899-901.
14. 張茂, 徐善祥, 干建新, 等. 鈍性外傷性主動脈夾層救治 1 例報道. 中國急救醫學, 2005, 25(5): 369.
15. 張源明, 周立英, 何秉賢, 等. 主動脈夾層 106 例的臨床分析. 中華心血管病雜志, 2005, 33(6): 536-538.
16. 趙克洪, 沈江明. 高齡老年患者頸動脈粥樣硬化與心血管危險因素及缺血性腦卒中的相關規律. 中國組織工程研究, 2004, 8(13): 2420-2421.

Previous Article
The impact of Liuhedan on interleukin-1β and tumor necrosis factor-alpha during infective wound healing in rabbits
Next Article
Sonographic findings of testicular torsion in adult males

West China Medical Journal

The diagnostic value of CT angiography in traumatic pelvic artery pseudoaneurysm and dissecting aneurysm

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content