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Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency  Peter Gordon, MB, BCh, BDS,

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Presentation on theme: "Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency  Peter Gordon, MB, BCh, BDS,"— Presentation transcript:

1 Successful endovascular treatment of multiple mesenteric arterial aneurysms associated with alpha-1-antitrypsin deficiency  Peter Gordon, MB, BCh, BDS, MFDS, Mark E. O'Donnell, Dip.SEM (GB&I), MMedSc, MD, MFSEM(RCSI&RCPI), MFSEM(UK), MRCSEd, Anton Collins, FRCS, FRCR, Keith R. Gardiner, MCh, MD, FRCS, Terry Irwin, DMI, MD, FRCS  Journal of Vascular Surgery  Volume 52, Issue 2, Pages (August 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Axial computed tomography (CT) image showing high attenuation point in the region of superior mesenteric artery (SMA) consistent with active extravasation of contrast (white arrow) with adjacent hematoma (black arrow). There is additional free fluid present on the right side with radiological density consistent with blood (F). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Sagittal computed tomography (CT) image demonstrating active contrast extravasation from the largest superior mesenteric artery (SMA) aneurysm (white arrow) with the associated hematoma (black arrow). There is additional free fluid present on the right side with radiological density consistent with blood (F). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Transfemoral mesenteric angiography confirming multiple aneurysms of both the superior mesenteric artery (SMA; white arrows) and inferior mesenteric artery (IMA; black arrow; 5 aneurysms in total). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Transfemoral mesenteric angiography confirming multiple aneurysms of both the superior mesenteric artery (SMA; white arrows) and inferior mesenteric artery (IMA; black arrows; 5 aneurysms in total). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Transfemoral mesenteric angiography confirming embolization of the proximal superior mesenteric artery (SMA) aneurysm with 3 platinum micro-coils (white arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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