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KMID : 1103720110650020127
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Journal of the Korean Society of Radiology
2011 Volume.65 No. 2 p.127 ~ p.131
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Vascular Rupture Caused by a Molding Balloon during Endovascular Aneurysm Repair: Case Report
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Lee Hee-Young
Do Young-Soo
Kim Young-Wook
Park Hong-Suk
Kim Dong-Ik
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Abstract
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Endovascular aneurysm repair (EVAR) has been accepted as an alternative to traditional open surgery in selected patients. Despite the minimally invasiveness of this treatment, several complications may occur during or after EVAR. Complications include endoleak, aortic dissection, distal embolism, or iatrogenic injury to the access artery. However, there are few reports on the vascular rupture caused by a molding balloon during EVAR. We report two cases of infrarenal abdominal aortic aneurysms complicated by procedure-related aortic or iliac artery rupture by the molding balloon during EVAR. In our cases, we observed suddenly abrupt increase of the diameter of the endograft during balloon inflation, because we inflated the balloon rapidly. In conclusion, careful attention must be paid during inflation of the molding balloon to prevent vascular rupture.
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KEYWORD
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Aortic Aneurysm, Abdominal , Endovascular Procedures , Aortic Rupture
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