Endovascular Treatment of Peripheral Vascular Blowout Syndrome in End-Stage Malignancies

Fabio Corvino; Francesco Giurazza; Gianluca Cangiano; Mattia Silvestre; Enrico Cavaglià; Giuseppe de Magistris; Francesco Amodio; Antonio Corvino; Raffaella Niola

doi:10.1016/j.avsg.2018.10.051

Endovascular Treatment of Peripheral Vascular Blowout Syndrome in End-Stage Malignancies

Ann Vasc Surg. 2019 Jul:58:382.e1-382.e5. doi: 10.1016/j.avsg.2018.10.051. Epub 2019 Feb 4.

Authors

Fabio Corvino¹, Francesco Giurazza², Gianluca Cangiano², Mattia Silvestre², Enrico Cavaglià², Giuseppe de Magistris², Francesco Amodio², Antonio Corvino³, Raffaella Niola²

Affiliations

¹ Interventional Radiology Department, AORN "A. Cardarelli", Naples, Italy. Electronic address: [email protected].
² Interventional Radiology Department, AORN "A. Cardarelli", Naples, Italy.
³ Department of Radiology, University of Naples Parthenope, Naples, Italy.

PMID: 30731226
DOI: 10.1016/j.avsg.2018.10.051

Abstract

Background: Vascular blowout syndrome (VBOS) is a life-threatening condition secondary to direct tumor encasement or invasion in advanced stage malignancies. Endovascular management can be used as an alternative to surgical treatment in this fragile patient population, providing a minimally invasive measure both acutely and prophylactically.

Methods: Three patients with peripheral VBOS secondary to advanced stage malignancies underwent successful endovascular treatment. Technical success was obtained in all patients with nonsignificant perioperative complications.

Results: Endovascular management controlled immediate life-threatening hemorrhage and enabled these high-risk patients to undergo other adjunctive therapeutic modalities.

Conclusions: Endovascular treatment can offer a safe and effective palliative measure of peripheral VBOS secondary to neoplastic erosion in patients with advanced stage malignancies.

Publication types

Case Reports

MeSH terms

Adult
Aneurysm, False / diagnostic imaging
Aneurysm, False / etiology
Aneurysm, False / pathology
Aneurysm, False / surgery*
Aneurysm, Ruptured / diagnostic imaging
Aneurysm, Ruptured / etiology
Aneurysm, Ruptured / pathology
Aneurysm, Ruptured / surgery*
Angiography, Digital Subtraction
Anus Neoplasms / complications
Anus Neoplasms / diagnostic imaging
Anus Neoplasms / pathology*
Colonic Neoplasms / complications
Colonic Neoplasms / diagnostic imaging
Colonic Neoplasms / pathology*
Computed Tomography Angiography
Endovascular Procedures* / instrumentation
Fatal Outcome
Female
Femoral Artery / diagnostic imaging
Femoral Artery / pathology
Femoral Artery / surgery*
Gastrointestinal Hemorrhage / etiology
Humans
Iliac Aneurysm / diagnostic imaging
Iliac Aneurysm / etiology
Iliac Aneurysm / pathology
Iliac Aneurysm / surgery*
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Recurrence, Local
Stents
Syndrome
Treatment Outcome
Vulvar Neoplasms / complications
Vulvar Neoplasms / diagnostic imaging
Vulvar Neoplasms / pathology*