Abdominal and Pelvic Aneurysms and Pseudoaneurysms

Medical imaging and minimally invasive intervention of vicseral aneurysms and pseudoaneurysms are presented.

Course ID: Q00379 Category:
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3.75

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Outline

  1. Introduction
  2. Visceral Artery Anatomy
  3. Imaging Tools
    1. Ultrasonography
    2. Computed Tomography
    3. MR Imaging
  4. Imaging Diagnosis of Aneurysms and Pseudoaneurysms
  5. Endovascular Treatment Principles
  6. Follow-up Imaging
  7. Abdominal Aneurysms and Pseudoaneurysms
    1. Splenic Artery Aneurysm
    2. Splenic Artery Pseudoaneurysm
    3. Hepatic Artery Aneurysm
    4. Hepatic Artery Pseudoaneurysm
    5. SMA Aneurysm
    6. SMA Pseudoaneurysm
    7. Celiac Artery Aneurysm
    8. Celiac Artery Pseudoaneurysm
    9. PDA and GDA Aneurysms
    10. PDA and GDA Pseudoaneurysms
    11. Gastric Artery Aneurysms and Pseudoaneurysms
    12. Renal Artery Aneurysm
    13. Renal Artery Pseudoaneurysm
    14. Multiple Abdominal Aneurysms
  8. Pelvic Aneurysms and Pseudoaneurysms
  9. Conclusion

Objectives

Upon completion of this course, students will:

  1. determine the difference between a true aneurysm and a pseudoaneurysm
  2. discuss the complications of true aneurysms
  3. determine the indication for treatment of pseudoaneurysms
  4. differentiate the functions of the layers of the arterial wall
  5. determine the characteristics of fusiform aneurysms
  6. explain the causes of true aneurysms
  7. determine the terms synonymous with pseudoaneurysm
  8. identify the collateral pathways from the SMA to the celiac artery
  9. identify the arterial branches of the celiac trunk
  10. determine the organ supplied by the gastroepiploic arteries
  11. identify the limitation of ultrasound in the imaging of visceral arteries
  12. determine the phase of the CT scan in which the CT angiographic images are obtained
  13. identify the factors related to contrast enhancement of CT arterial images
  14. discuss the advantage of MR imaging over CT imaging
  15. determine the slice thickness for CTA reconstruction
  16. determine the potential complication for gadolinium and patients with compromised renal function
  17. describe the characteristics of visceral artery aneurysms on US imaging
  18. describe the characteristics of pseudoaneurysms on radiology images
  19. discuss the advantages of angiography in the diagnosis of visceral artery aneurysms
  20. explain how peristaltic motion can be controlled during angiography
  21. identify the equipment used to sub-select an artery for embolization
  22. define embolization
  23. determine what materials are cast forming agents
  24. define sac-packing
  25. determine the indications for the sandwich coiling technique
  26. determine the desirable scenarios for use of “cast-forming” agents
  27. identify the type of aneurysm in which a stent graft would be indicated for treatment
  28. discuss which embolization technique should be avoided as the sole treatment of pseudoaneurysms
  29. describe the potential adverse finding on post-embolization follow-up imaging
  30. describe the indications for treatment of visceral artery aneurysms
  31. discuss the associated factors in splenic artery aneurysm formation
  32. determine the fetal morality rate associated with splenic artery aneurysm
  33. identify the typical symptoms of hepatic artery aneurysms
  34. identify procedures that cause an increased incidence of hepatic artery pseudoaneurysms
  35. identify differences in presentation of patients with SMA aneurysms
  36. describe the factors that cause SMA pseudoaneurysm formation as a result from pancreatitis
  37. describe the causes of multiple abdominal aneurysms
  38. identify the characteristics of mycotic aneurysms
  39. discuss the vascular effects of Marfan syndrome
  40. determine why conventional angiography is contraindicated in patients with Ehlers-Danlos syndrome