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
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container_end_page 577
container_issue 7
container_start_page 575
container_title Vascular and endovascular surgery
container_volume 46
creator Choong, Andrew
Alagaratnam, Swethan
Suliman, Samir
Gikas, Panagiotis
Briggs, Timothy
Loh, Alexander
Lotzof, Kevin
description 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.
doi_str_mv 10.1177/1538574412454583
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Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleeding aneurysms. Hemostasis was eventually achieved with standard microcoil embolization.</description><identifier>ISSN: 1538-5744</identifier><identifier>EISSN: 1938-9116</identifier><identifier>DOI: 10.1177/1538574412454583</identifier><identifier>PMID: 22858599</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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. 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Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleeding aneurysms. Hemostasis was eventually achieved with standard microcoil embolization.</description><subject>Adult</subject><subject>Amputation - adverse effects</subject><subject>Amputation Stumps - blood supply</subject><subject>Amputation Stumps - diagnostic imaging</subject><subject>Amputation Stumps - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Debridement</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Embolization, Therapeutic</subject><subject>Endovascular Procedures</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Negative-Pressure Wound Therapy</subject><subject>Neurofibromatosis 1 - complications</subject><subject>Neurofibromatosis 1 - diagnosis</subject><subject>Neurofibromatosis 1 - surgery</subject><subject>Neurofibromatosis 1 - therapy</subject><subject>Postoperative Hemorrhage - diagnostic imaging</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Postoperative Hemorrhage - therapy</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Sepsis - etiology</subject><subject>Sepsis - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Vascular Diseases - diagnostic imaging</subject><subject>Vascular Diseases - etiology</subject><subject>Vascular Diseases - surgery</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Vascular system</topic><topic>Debridement</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Embolization, Therapeutic</topic><topic>Endovascular Procedures</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Negative-Pressure Wound Therapy</topic><topic>Neurofibromatosis 1 - complications</topic><topic>Neurofibromatosis 1 - diagnosis</topic><topic>Neurofibromatosis 1 - surgery</topic><topic>Neurofibromatosis 1 - therapy</topic><topic>Postoperative Hemorrhage - diagnostic imaging</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Postoperative Hemorrhage - therapy</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Sepsis - etiology</topic><topic>Sepsis - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleeding aneurysms. Hemostasis was eventually achieved with standard microcoil embolization.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>22858599</pmid><doi>10.1177/1538574412454583</doi><tpages>3</tpages></addata></record>
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subjects 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
title The Endovascular Management of a Neurofibromatosis Vasculopathy: A Case Report
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