Use of a stent graft in tumor erosion of the common femoral artery with life-threatening bleeding.
Identifieur interne : 000043 ( Main/Exploration ); précédent : 000042; suivant : 000044Use of a stent graft in tumor erosion of the common femoral artery with life-threatening bleeding.
Auteurs : Hong H. Keo [Suisse] ; Nicolas Diehm [Suisse] ; Daniel Staub [Suisse] ; Frederic Baumann [Suisse]Source :
- VASA. Zeitschrift fur Gefasskrankheiten [ 0301-1526 ] ; 2017.
Abstract
We report a case of a 56-year-old male patient with a life-threatening left common femoral artery bleeding due to tumor erosion. The patient had a history of advanced high-grade pleomorphic leiomyosarcoma of the left groin with pulmonary metastasis. Clinical examination revealed a massive tumor bulking at the left groin with necrosis and phleb- and lymphedema. Given the circumstances, open surgery was not possible. Thus, it was decided to treat the patient with an endovascular procedure. The postprocedural course was uneventful, the patient received blood product and was hemodynamically stable. He was discharged at day six with ambulatory follow-up. Endovascular therapy using stent grafts to exclude a life-threatening bleeding is a valuable alternative treatment option in oncologic patients with limited life expectancy, which are unsuitable for surgery.
DOI: 10.1024/0301-1526/a000623
PubMed: 28332440
Affiliations:
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Keo</name><affiliation wicri:level="1"><nlm:affiliation>1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau</wicri:regionArea><wicri:noRegion>Aarau</wicri:noRegion></affiliation></author><author><name sortKey="Diehm, Nicolas" sort="Diehm, Nicolas" uniqKey="Diehm N" first="Nicolas" last="Diehm">Nicolas Diehm</name><affiliation wicri:level="1"><nlm:affiliation>1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>1 Vascular Institute Central Switzerland and Hirslanden Clinic Aarau, Aarau</wicri:regionArea><wicri:noRegion>Aarau</wicri:noRegion></affiliation></author><author><name sortKey="Staub, Daniel" sort="Staub, Daniel" uniqKey="Staub D" first="Daniel" last="Staub">Daniel Staub</name><affiliation wicri:level="1"><nlm:affiliation>2 Division of Angiology, Department of Internal Medicine, University Hospital Basel, Basel, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>2 Division of Angiology, Department of Internal Medicine, University Hospital Basel, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author><author><name sortKey="Baumann, Frederic" sort="Baumann, Frederic" uniqKey="Baumann F" first="Frederic" last="Baumann">Frederic Baumann</name><affiliation wicri:level="1"><nlm:affiliation>3 Clinic for Angiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>3 Clinic for Angiology, University Hospital Zurich and University of Zurich, Zurich</wicri:regionArea><wicri:noRegion>Zurich</wicri:noRegion></affiliation></author></analytic><series><title level="j">VASA. Zeitschrift fur Gefasskrankheiten</title><idno type="ISSN">0301-1526</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report a case of a 56-year-old male patient with a life-threatening left common femoral artery bleeding due to tumor erosion. The patient had a history of advanced high-grade pleomorphic leiomyosarcoma of the left groin with pulmonary metastasis. Clinical examination revealed a massive tumor bulking at the left groin with necrosis and phleb- and lymphedema. Given the circumstances, open surgery was not possible. Thus, it was decided to treat the patient with an endovascular procedure. The postprocedural course was uneventful, the patient received blood product and was hemodynamically stable. He was discharged at day six with ambulatory follow-up. Endovascular therapy using stent grafts to exclude a life-threatening bleeding is a valuable alternative treatment option in oncologic patients with limited life expectancy, which are unsuitable for surgery.</div></front></TEI><affiliations><list><country><li>Suisse</li></country></list><tree><country name="Suisse"><noRegion><name sortKey="Keo, Hong H" sort="Keo, Hong H" uniqKey="Keo H" first="Hong H" last="Keo">Hong H. Keo</name></noRegion><name sortKey="Baumann, Frederic" sort="Baumann, Frederic" uniqKey="Baumann F" first="Frederic" last="Baumann">Frederic Baumann</name><name sortKey="Diehm, Nicolas" sort="Diehm, Nicolas" uniqKey="Diehm N" first="Nicolas" last="Diehm">Nicolas Diehm</name><name sortKey="Staub, Daniel" sort="Staub, Daniel" uniqKey="Staub D" first="Daniel" last="Staub">Daniel Staub</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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