Radiological Findings and Endovascular Management of Three Cases with Segmental Arterial Mediolysis

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dc.contributor.authorDavran, Ramazan
dc.contributor.authorCinar, Celal
dc.contributor.authorParildar, Mustafa
dc.contributor.authorOran, Ismail
dc.date.accessioned2024-09-18T20:56:54Z
dc.date.available2024-09-18T20:56:54Z
dc.date.issued2010
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractSegmental arterial mediolysis (SAM) is an uncommon self-limited disorder that can cause abdominal catastrophes through massive bleeding or bowel infarction. The former arise from arterial aneurysms, and the latter from arterial stenosis or occlusions. Although this is an acute self-limiting disease, the catastrophic consequence, originating from intra-abdominal hemorrhage (arterial dilatation, aneurysms, dissecting hematomas) or bowel infarction (arterial stenosis, arterial occlusions), is not rare. The identification of these lesions is very important in the differential diagnosis of suspected patients with complaints of abdominal pain with hemorrhage. We report computerized tomography angiography and digital subtraction angiography findings of three cases with abdominal SAM, who were treated with endovascular management due to abdominal bleeding. Angiography showed arterial dilatations, aneurysms, and occlusions of visceral arteries in all three cases, The string-of-beads appearance was present in only one case. Bleeding stopped immediately after embolization of three cases and follow-up revealed no evidence of recurrences at 23, 18, and 15 months, respectively, Arterial coil embolization is an effective treatment modality for bleeding complications of SAM. Close follow-up is recommended, primarily to ascertain the fate of the nontreated arterial lesions.en_US
dc.identifier.doi10.1007/s00270-009-9651-2
dc.identifier.endpage606en_US
dc.identifier.issn0174-1551
dc.identifier.issue3en_US
dc.identifier.pmid19629590en_US
dc.identifier.scopus2-s2.0-77953132220en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage601en_US
dc.identifier.urihttps://doi.org/10.1007/s00270-009-9651-2
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12167
dc.identifier.volume33en_US
dc.identifier.wosWOS:000277594900021en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofCardiovascular and Interventional Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSegmental arterial mediolysisen_US
dc.subjectVisceral aneurysmen_US
dc.subjectEndovascular managementen_US
dc.titleRadiological Findings and Endovascular Management of Three Cases with Segmental Arterial Mediolysisen_US
dc.typeArticleen_US

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