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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Rapid aneurysm growth after transarterial chemoembolization.

Kirsten Dansey1, Mathew Wooster2, Alexis Powell2

  • 1Morsani College of Medicine, University of South Florida, Tampa, Fla.

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Summary

Transarterial chemoembolization (TCE) may accelerate aortic and iliac artery aneurysm growth. A 64-year-old man experienced rapid aneurysm dilation after TCE for liver cancer, successfully treated with endovascular repair.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Oncology

Background:

  • Aneurysm growth is a serious vascular condition.
  • Transarterial chemoembolization (TCE) is a treatment for liver cancer.
  • Anecdotal reports suggest chemotherapy may affect aneurysm size, but no specific link to TCE exists.

Purpose of the Study:

  • To report a case of accelerated aortic and iliac artery aneurysm dilation following TCE.
  • To highlight a potential complication of TCE in patients with pre-existing aneurysms.

Main Methods:

  • Case report of a 64-year-old male patient.
  • Documented aneurysm dilation after two rounds of TCE for hepatocellular carcinoma.
  • Successful endovascular repair of rapidly growing aneurysms.

Main Results:

  • The patient showed accelerated dilation of aortic and iliac artery aneurysms post-TCE.
  • Aneurysm growth was rapid, precluding transplant consideration.
  • Endovascular repair was successfully performed.

Conclusions:

  • Transarterial chemoembolization may be associated with accelerated aneurysm growth.
  • Vigilant monitoring for aneurysm development or progression is crucial in patients undergoing TCE.
  • Endovascular repair is a viable treatment option for managing such complications.