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 |
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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. Surgery of the lymphatic vessels</subject><ispartof>Vascular and endovascular surgery, 2012-10, Vol.46 (7), p.575-577</ispartof><rights>The Author(s) 2012</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-326ea38785d101db5e6c3e84df2619116b6fac6ae27b67322ee4bcc77eb0fb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1538574412454583$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1538574412454583$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26635195$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22858599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choong, Andrew</creatorcontrib><creatorcontrib>Alagaratnam, Swethan</creatorcontrib><creatorcontrib>Suliman, Samir</creatorcontrib><creatorcontrib>Gikas, Panagiotis</creatorcontrib><creatorcontrib>Briggs, Timothy</creatorcontrib><creatorcontrib>Loh, Alexander</creatorcontrib><creatorcontrib>Lotzof, Kevin</creatorcontrib><title>The Endovascular Management of a Neurofibromatosis Vasculopathy: A Case Report</title><title>Vascular and endovascular surgery</title><addtitle>Vasc Endovascular Surg</addtitle><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.</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. Surgery of the lymphatic vessels</subject><issn>1538-5744</issn><issn>1938-9116</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLxDAQgIMorq-7J-lF8FLNJM2jJ5FlfcCql8VrSdOpVtpmTVrBf2_WXRUETzMw37w-Qo6BngModQGCa6GyDFgmMqH5FtmDnOs0B5DbMY_ldFWfkP0QXikFDZneJRPGtNAiz_fI5eIFk1lfuXcT7Ngan9yb3jxjh_2QuDoxyQOO3tVN6V1nBheakDx9oW5phpePQ7JTmzbg0SYekMX1bDG9TeePN3fTq3lqOaNDyplEw7XSogIKVSlQWo46q2omYXVtKWtjpUGmSqk4Y4hZaa1SWNK61PyAnK3HLr17GzEMRdcEi21renRjKAAgU5QDzyNK16j1LgSPdbH0TWf8RwG0WFkr_lqLLSeb6WPZYfXT8K0pAqcbIL5u2tqb3jbhl5OSC8hF5NI1F6LC4tWNvo9S_l_8CU4QgRQ</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Choong, Andrew</creator><creator>Alagaratnam, Swethan</creator><creator>Suliman, Samir</creator><creator>Gikas, Panagiotis</creator><creator>Briggs, Timothy</creator><creator>Loh, Alexander</creator><creator>Lotzof, Kevin</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>The Endovascular Management of a Neurofibromatosis Vasculopathy</title><author>Choong, Andrew ; Alagaratnam, Swethan ; Suliman, Samir ; Gikas, Panagiotis ; Briggs, Timothy ; Loh, Alexander ; Lotzof, Kevin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-326ea38785d101db5e6c3e84df2619116b6fac6ae27b67322ee4bcc77eb0fb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Amputation - adverse effects</topic><topic>Amputation Stumps - blood supply</topic><topic>Amputation Stumps - diagnostic imaging</topic><topic>Amputation Stumps - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. 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. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Vascular Diseases - diagnostic imaging</topic><topic>Vascular Diseases - etiology</topic><topic>Vascular Diseases - surgery</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choong, Andrew</creatorcontrib><creatorcontrib>Alagaratnam, Swethan</creatorcontrib><creatorcontrib>Suliman, Samir</creatorcontrib><creatorcontrib>Gikas, Panagiotis</creatorcontrib><creatorcontrib>Briggs, Timothy</creatorcontrib><creatorcontrib>Loh, Alexander</creatorcontrib><creatorcontrib>Lotzof, Kevin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choong, Andrew</au><au>Alagaratnam, Swethan</au><au>Suliman, Samir</au><au>Gikas, Panagiotis</au><au>Briggs, Timothy</au><au>Loh, Alexander</au><au>Lotzof, Kevin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Endovascular Management of a Neurofibromatosis Vasculopathy: A Case Report</atitle><jtitle>Vascular and endovascular surgery</jtitle><addtitle>Vasc Endovascular Surg</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>46</volume><issue>7</issue><spage>575</spage><epage>577</epage><pages>575-577</pages><issn>1538-5744</issn><eissn>1938-9116</eissn><abstract>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.</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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