The Endovascular Management of a Neurofibromatosis Vasculopathy: A Case Report

We describe the management of a 30-year-old male with type I neurofibromatosis who required an above-knee amputation for bleeding, infection, swelling, and multiple severe joint instability. Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleedi...

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Veröffentlicht in:	Vascular and endovascular surgery 2012-10, Vol.46 (7), p.575-577
Hauptverfasser:	Choong, Andrew, Alagaratnam, Swethan, Suliman, Samir, Gikas, Panagiotis, Briggs, Timothy, Loh, Alexander, Lotzof, Kevin
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Amputation - adverse effects Amputation Stumps - blood supply Amputation Stumps - diagnostic imaging Amputation Stumps - surgery Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Debridement Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Embolization, Therapeutic Endovascular Procedures Humans Male Medical sciences Negative-Pressure Wound Therapy Neurofibromatosis 1 - complications Neurofibromatosis 1 - diagnosis Neurofibromatosis 1 - surgery Neurofibromatosis 1 - therapy Postoperative Hemorrhage - diagnostic imaging Postoperative Hemorrhage - etiology Postoperative Hemorrhage - therapy Radiography Reoperation Sepsis - etiology Sepsis - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Vascular Diseases - diagnostic imaging Vascular Diseases - etiology Vascular Diseases - surgery Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Zusammenfassung:	We describe the management of a 30-year-old male with type I neurofibromatosis who required an above-knee amputation for bleeding, infection, swelling, and multiple severe joint instability. Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleeding aneurysms. Hemostasis was eventually achieved with standard microcoil embolization.
ISSN:	1538-5744 1938-9116
DOI:	10.1177/1538574412454583